Hospital

BURGESS HEALTH CENTER

Onawa, IA · CCN 161359 · Rates published

2,705 distinct procedures filed

8 distinct payers

54,308 rate rows

2026-05-23 last MRF observed

Data quality

17,549 of 54,308 rate rows are consumer-grade (32.3%)

36,759 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
per-diem day rate — not a per-procedure price	36,640
placeholder amount (≤ $0.02) — excluded from medians	60
percent-of-charges filed in the dollar field — excluded from medians	53
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	6

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

Source MRF file	https://burgesshc.b-cdn.net/wp-content/uploads/2025/01/420859940_Burgess-Health-Center_StandardCharges.csv
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-09-21
Content fingerprint	72cfab49ac977670… · 614,646 bytes · first seen 2026-05-17

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
J3357 HCPCS	Stelara Subcutaneous Solution 45mg/0.5ml	8	$2,115.00	$52,472.62	$24,464.70	nat. median $20,264 1.2× median
J9228 HCPCS	YERvoy (IPILimuMAB) 50mg/10ml	8	$2,115.00	$63,915.70	$24,363.81	nat. median $6,073 outlier · 4.0×
J3245 HCPCS	ILUmya 100mg/ml Pfs 1ml	8	$2,115.00	$32,330.60	$16,978.07	nat. median $217 outlier · 78.3×
22533 CPT	Lumbar Disectomy	5	$16,427.00	$16,427.00	$16,427.00	nat. median $9,882 1.7× median
J9043 HCPCS	Jevtana 60mg/1.5ml Kit	8	$2,115.00	$25,845.72	$13,714.01	nat. median $509 outlier · 26.9×
J0775 HCPCS	Xiaflex Inj Powder For Solution 0.9mg	8	$2,115.00	$22,156.00	$13,079.52	nat. median $114 outlier · 115.2×
J9306 HCPCS	Perjeta (pertuzumab) 420mg Vial	8	$2,115.00	$20,503.00	$12,540.75	nat. median $43 outlier · 293.9×
J9223 HCPCS	Zepzelca 4mg Sdv	8	$2,115.00	$24,132.00	$12,195.56	nat. median $452 outlier · 27.0×
J9311 HCPCS	Rituxan Hycela 1600mg Sdv	8	$2,115.00	$22,590.00	$12,075.30	nat. median $79 outlier · 153.1×
J3101 HCPCS	Tnkase (tenecteplase) 50mg Inj	8	$2,115.00	$23,483.00	$12,025.25	nat. median $498 outlier · 24.2×
J9119 HCPCS	Libtayo Intravenous Solution 350mg/7ml	8	$2,115.00	$19,664.95	$11,959.72	nat. median $53 outlier · 224.6×
J9022 HCPCS	TECENtriq 1200mg Sdv 20ml	8	$2,115.00	$20,253.35	$11,893.23	nat. median $1,229 outlier · 9.7×
J9144 HCPCS	DARZalex FASpro 1800mg-30000 Sdv 15ml	8	$2,115.00	$19,029.36	$11,439.01	nat. median $114 outlier · 99.9×
J2506 HCPCS	Neulasta (pegfilgrastim) 6mg/0.6ml Inj	8	$2,115.00	$19,254.00	$10,396.18	nat. median $916 outlier · 11.4×
J3380 HCPCS	Entyvio Intravenous Pwd For Soln 300mg	8	$2,115.00	$16,847.40	$10,222.07	nat. median $59 outlier · 173.8×
J0717 HCPCS	Zzcimzia (certolizumab Pegol) Lyo 400mg	8	$2,115.00	$17,998.00	$9,482.67	nat. median $29 outlier · 326.8×
J1162 HCPCS	Digifab 40mg/vial Inj	8	$2,115.00	$14,922.00	$9,262.84	nat. median $6,265 1.5× median
J2353 HCPCS	Zzsandostatin Lar 20mg	8	$2,115.00	$20,738.00	$8,947.45	nat. median $1,956 outlier · 4.6×
J9308 HCPCS	Cyramza Intravenous Solution 500mg/50ml	8	$2,115.00	$22,554.00	$8,606.60	nat. median $300 outlier · 28.7×
J9316 HCPCS	Phesgo 600mg-600mg Sdv 10ml	8	$2,115.00	$15,247.80	$8,379.73	nat. median $221 outlier · 38.0×
24538 CPT	Percutaneous Skeletal Fix Humeral Fractu	5	$8,253.00	$8,253.00	$8,253.00	nat. median $5,416 1.5× median
J9173 HCPCS	IMFinzi 500mg/10ml Sdv	8	$2,115.00	$12,926.00	$8,079.30	nat. median $588 outlier · 13.7×
J9354 HCPCS	Kadcyla IV Powder For Solution 100mg	8	$2,115.00	$12,011.00	$7,624.19	nat. median $4,004 1.9× median
J2182 HCPCS	Nucala Pfs 100mg/ml	8	$2,115.00	$11,512.00	$7,241.86	nat. median $80 outlier · 90.9×
J9217 HCPCS	Lupron Depot 6 Month Pwd For Susp 45mg	8	$2,073.15	$16,605.00	$7,148.19	nat. median $2,144 outlier · 3.3×
J9303 HCPCS	Zzvectibix (panitumumab) : 10mg	8	$189.77	$21,782.00	$6,951.43	nat. median $869 outlier · 8.0×
Q5122 HCPCS	Nyvepria 6mg Pfs 0.6ml	8	$2,115.00	$11,775.00	$6,631.75	nat. median $487 outlier · 13.6×
J0256 HCPCS	Zzprolastin Vial 10mg	8	$6.17	$25.00	$6,159.75	nat. median $9 outlier · 652.2×
J9271 HCPCS	Keytruda Intravenous Solution 100mg/4ml	8	$2,115.00	$10,828.23	$6,155.21	nat. median $127 outlier · 48.5×
J9299 HCPCS	ZZOPDivo (nivoLUmab) 1mg	8	$32.13	$23,871.00	$5,943.57	nat. median $1,811 outlier · 3.3×
J9358 HCPCS	Enhertu 100mg Sdv	8	$2,115.00	$9,301.00	$5,788.94	nat. median $67 outlier · 86.3×
J9205 HCPCS	ONIVyde (irinotecan Liposomal) 43mg 10ml	8	$2,115.00	$8,979.00	$5,715.85	nat. median $129 outlier · 44.3×
J9033 HCPCS	Bendeka (bendamustine) 100mg Vl 20ml	8	$2,115.00	$8,957.00	$5,213.36	nat. median $707 outlier · 7.4×
J9227 HCPCS	Sarclisa 500mg/25ml Sdv	8	$1,352.52	$13,091.00	$5,177.39	nat. median $222 outlier · 23.3×
J2796 HCPCS	Zz Nplate (romiPLOStim) Do Not Use	8	$2,115.00	$8,259.00	$5,137.86	nat. median $2,653 1.9× median
Q5117 HCPCS	Kanjinti 420mg Mdv	8	$2,102.22	$11,467.00	$5,130.88	nat. median $187 outlier · 27.4×
J0402 HCPCS	Abilify Maintena 400mg Syringe	8	$2,115.00	$8,713.00	$5,090.54	nat. median $7 outlier · 716.0×
J7168 HCPCS	Kcentra (prothrombin Complex) 502iu Sdv	8	$2,115.00	$9,872.00	$5,059.79	nat. median $589 outlier · 8.6×
E0615 HCPCS	Pacemaker/ Suture Sleeve *	8	$133.62	$18,143.00	$5,028.09	nat. median $666 outlier · 7.5×
J9317 HCPCS	Trodelvy IV Pwdforsoln 180mg	8	$2,115.00	$7,733.00	$5,003.43	nat. median $70 outlier · 71.9×
J0401 HCPCS	Abilify Maintena 400mg Syringe	8	$2,115.00	$8,460.00	$4,963.20	nat. median $22 outlier · 221.0×
J2802 HCPCS	NPLate 250mcg Sdv 0.5ml	8	$2,115.00	$8,259.00	$4,862.03	nat. median $43 outlier · 112.7×
J9218 HCPCS	Eligard (leuprolide Acetate) 45mg Inj	8	$2,115.00	$8,130.00	$4,797.10	nat. median $448 outlier · 10.7×
Q5129 HCPCS	Vegzelma 400mg Sdv 16ml	8	$2,115.00	$8,129.00	$4,796.60	nat. median $60 outlier · 80.1×
44207 CPT	Laparoscopy; Surg; Colectomy; Partial; W	5	$4,696.00	$4,696.00	$4,696.00	nat. median $4,397 1.1× median
Q2049 HCPCS	Zzlipodox Inst 50mg 2mg/ml Vial	8	$2,115.00	$6,991.00	$4,621.40	nat. median $529 outlier · 8.7×
J0517 HCPCS	Fasenra 30mg Pfs	8	$2,115.00	$7,761.96	$4,611.85	nat. median $404 outlier · 11.4×
44210 CPT	Laparoscopy;surgical;colectomy;total;abd	5	$4,589.00	$4,589.00	$4,589.00	nat. median $3,792 1.2× median
J9999 HCPCS	Zzdecitabine(dacogen)50mg Vial-don't Use	8	$1,932.85	$9,600.00	$4,466.75	nat. median $3,398 1.3× median
Q5119 HCPCS	Ruxience 500mg Sdv 50ml	8	$1,117.92	$10,794.00	$4,344.77	nat. median $318 outlier · 13.7×

Other procedures at this hospital

Browse this hospital's 2,705 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

J3357	HCPCS	Stelara Subcutaneous Solution 45mg/0.5ml	46	8	$52,472.62	$43,934.70	$2,115.00	$52,472.62	$24,464.70	2026-05-23
J9228	HCPCS	YERvoy (IPILimuMAB) 50mg/10ml	26	8	$63,915.70	$51,132.56 20% off	$2,115.00	$63,915.70	$24,363.81	2026-05-23
J3245	HCPCS	ILUmya 100mg/ml Pfs 1ml	16	8	$32,330.60	$25,864.48 20% off	$2,115.00	$32,330.60	$16,978.07	2026-05-23
22533	CPT	Lumbar Disectomy	6	5	$16,427.00	$13,141.60 20% off	$16,427.00	$16,427.00	$16,427.00	2026-05-23
J9043	HCPCS	Jevtana 60mg/1.5ml Kit	16	8	$25,845.72	$20,676.57 20% off	$2,115.00	$25,845.72	$13,714.01	2026-05-23
J0775	HCPCS	Xiaflex Inj Powder For Solution 0.9mg	26	8	$22,156.00	$19,753.00	$2,115.00	$22,156.00	$13,079.52	2026-05-23
J9306	HCPCS	Perjeta (pertuzumab) 420mg Vial	26	8	$20,503.00	$19,622.00	$2,115.00	$20,503.00	$12,540.75	2026-05-23
J9223	HCPCS	Zepzelca 4mg Sdv	26	8	$24,132.00	$24,132.00	$2,115.00	$24,132.00	$12,195.56	2026-05-23
J9311	HCPCS	Rituxan Hycela 1600mg Sdv	16	8	$22,590.00	$22,590.00	$2,115.00	$22,590.00	$12,075.30	2026-05-23
J3101	HCPCS	Tnkase (tenecteplase) 50mg Inj	26	8	$23,483.00	$23,483.00	$2,115.00	$23,483.00	$12,025.25	2026-05-23
J9119	HCPCS	Libtayo Intravenous Solution 350mg/7ml	26	8	$19,664.95	$18,536.10	$2,115.00	$19,664.95	$11,959.72	2026-05-23
J9022	HCPCS	TECENtriq 1200mg Sdv 20ml	26	8	$20,253.35	$17,727.55	$2,115.00	$20,253.35	$11,893.23	2026-05-23
J9144	HCPCS	DARZalex FASpro 1800mg-30000 Sdv 15ml	26	8	$19,029.36	$17,447.50	$2,115.00	$19,029.36	$11,439.01	2026-05-23
J2506	HCPCS	Neulasta (pegfilgrastim) 6mg/0.6ml Inj	16	8	$19,254.00	$19,254.00	$2,115.00	$19,254.00	$10,396.18	2026-05-23
J3380	HCPCS	Entyvio Intravenous Pwd For Soln 300mg	26	8	$16,847.40	$15,599.85	$2,115.00	$16,847.40	$10,222.07	2026-05-23
J0717	HCPCS	Zzcimzia (certolizumab Pegol) Lyo 400mg	36	8	$17,998.00	$17,158.00	$2,115.00	$17,998.00	$9,482.67	2026-05-23
J1162	HCPCS	Digifab 40mg/vial Inj	26	8	$14,922.00	$14,349.00	$2,115.00	$14,922.00	$9,262.84	2026-05-23
J2353	HCPCS	Zzsandostatin Lar 20mg	36	8	$20,738.00	$16,590.40	$2,115.00	$20,738.00	$8,947.45	2026-05-23
J9308	HCPCS	Cyramza Intravenous Solution 500mg/50ml	26	8	$22,554.00	$18,043.20	$2,115.00	$22,554.00	$8,606.60	2026-05-23
J9316	HCPCS	Phesgo 600mg-600mg Sdv 10ml	16	8	$15,247.80	$15,247.80	$2,115.00	$15,247.80	$8,379.73	2026-05-23
24538	CPT	Percutaneous Skeletal Fix Humeral Fractu	6	5	$8,253.00	$6,602.40 20% off	$8,253.00	$8,253.00	$8,253.00	2026-05-23
J9173	HCPCS	IMFinzi 500mg/10ml Sdv	26	8	$12,926.00	$12,426.00	$2,115.00	$12,926.00	$8,079.30	2026-05-23
J9354	HCPCS	Kadcyla IV Powder For Solution 100mg	26	8	$12,011.00	$11,834.00	$2,115.00	$12,011.00	$7,624.19	2026-05-23
J2182	HCPCS	Nucala Pfs 100mg/ml	26	8	$11,512.00	$11,067.00	$2,115.00	$11,512.00	$7,241.86	2026-05-23
J9217	HCPCS	Lupron Depot 6 Month Pwd For Susp 45mg	56	8	$16,605.00	$13,284.00 20% off	$2,073.15	$16,605.00	$7,148.19	2026-05-23
J9303	HCPCS	Zzvectibix (panitumumab) : 10mg	61	8	$21,782.00	$20,747.00	$189.77	$21,782.00	$6,951.43	2026-05-23
Q5122	HCPCS	Nyvepria 6mg Pfs 0.6ml	16	8	$11,775.00	$9,420.00 20% off	$2,115.00	$11,775.00	$6,631.75	2026-05-23
J0256	HCPCS	Zzprolastin Vial 10mg	30	8	$25.00	$25.00	$6.17	$25.00	$6,159.75	2026-05-23
J9271	HCPCS	Keytruda Intravenous Solution 100mg/4ml	16	8	$10,828.23	$8,662.58 20% off	$2,115.00	$10,828.23	$6,155.21	2026-05-23
J9299	HCPCS	ZZOPDivo (nivoLUmab) 1mg	51	8	$23,871.00	$19,096.80 20% off	$32.13	$23,871.00	$5,943.57	2026-05-23
J9358	HCPCS	Enhertu 100mg Sdv	26	8	$9,301.00	$8,467.00	$2,115.00	$9,301.00	$5,788.94	2026-05-23
J9205	HCPCS	ONIVyde (irinotecan Liposomal) 43mg 10ml	26	8	$8,979.00	$8,547.00	$2,115.00	$8,979.00	$5,715.85	2026-05-23
J9033	HCPCS	Bendeka (bendamustine) 100mg Vl 20ml	16	8	$8,957.00	$8,957.00	$2,115.00	$8,957.00	$5,213.36	2026-05-23
J9227	HCPCS	Sarclisa 500mg/25ml Sdv	26	8	$13,091.00	$10,472.80 20% off	$1,352.52	$13,091.00	$5,177.39	2026-05-23
J2796	HCPCS	Zz Nplate (romiPLOStim) Do Not Use	36	8	$8,259.00	$7,866.00	$2,115.00	$8,259.00	$5,137.86	2026-05-23
Q5117	HCPCS	Kanjinti 420mg Mdv	26	8	$11,467.00	$11,467.00	$2,102.22	$11,467.00	$5,130.88	2026-05-23
J0402	HCPCS	Abilify Maintena 400mg Syringe	16	8	$8,713.00	$6,970.40 20% off	$2,115.00	$8,713.00	$5,090.54	2026-05-23
J7168	HCPCS	Kcentra (prothrombin Complex) 502iu Sdv	46	8	$9,872.00	$9,165.00	$2,115.00	$9,872.00	$5,059.79	2026-05-23
E0615	HCPCS	Pacemaker/ Suture Sleeve *	31	8	$18,143.00	$14,514.40 20% off	$133.62	$18,143.00	$5,028.09	2026-05-23
J9317	HCPCS	Trodelvy IV Pwdforsoln 180mg	26	8	$7,733.00	$7,434.00	$2,115.00	$7,733.00	$5,003.43	2026-05-23
J0401	HCPCS	Abilify Maintena 400mg Syringe	16	8	$8,460.00	$8,460.00	$2,115.00	$8,460.00	$4,963.20	2026-05-23
J2802	HCPCS	NPLate 250mcg Sdv 0.5ml	16	8	$8,259.00	$6,607.20 20% off	$2,115.00	$8,259.00	$4,862.03	2026-05-23
J9218	HCPCS	Eligard (leuprolide Acetate) 45mg Inj	16	8	$8,130.00	$8,130.00	$2,115.00	$8,130.00	$4,797.10	2026-05-23
Q5129	HCPCS	Vegzelma 400mg Sdv 16ml	16	8	$8,129.00	$6,503.20 20% off	$2,115.00	$8,129.00	$4,796.60	2026-05-23
44207	CPT	Laparoscopy; Surg; Colectomy; Partial; W	6	5	$4,696.00	$3,756.80	$4,696.00	$4,696.00	$4,696.00	2026-05-23
Q2049	HCPCS	Zzlipodox Inst 50mg 2mg/ml Vial	26	8	$6,991.00	$5,592.80 20% off	$2,115.00	$6,991.00	$4,621.40	2026-05-23
J0517	HCPCS	Fasenra 30mg Pfs	16	8	$7,761.96	$6,209.56 20% off	$2,115.00	$7,761.96	$4,611.85	2026-05-23
44210	CPT	Laparoscopy;surgical;colectomy;total;abd	6	5	$4,589.00	$3,671.20 20% off	$4,589.00	$4,589.00	$4,589.00	2026-05-23
J9999	HCPCS	Zzdecitabine(dacogen)50mg Vial-don't Use	26	8	$9,600.00	$7,680.00 20% off	$1,932.85	$9,600.00	$4,466.75	2026-05-23
Q5119	HCPCS	Ruxience 500mg Sdv 50ml	26	8	$10,794.00	$8,635.20	$1,117.92	$10,794.00	$4,344.77	2026-05-23
27513	CPT	Open Treatment Femoral Supracondylar Fra	6	5	$4,184.00	$3,347.20 20% off	$4,184.00	$4,184.00	$4,184.00	2026-05-23
J3358	HCPCS	Stelara IV 130mg/26ml Sdv	26	8	$6,359.00	$6,074.00	$2,115.00	$6,359.00	$4,177.77	2026-05-23
J9035	HCPCS	Avastin Intravenous Sol 400mg/16ml	26	8	$9,605.00	$9,605.00	$1,240.83	$9,605.00	$4,058.48	2026-05-23
Q5108	HCPCS	FULPhila 6mg Pfs 0.6ml	16	8	$6,263.00	$6,263.00	$2,115.00	$6,263.00	$3,857.38	2026-05-23
78814	CPT	Pet/ct Limted	16	8	$6,220.00	$4,976.00 20% off	$2,115.00	$6,220.00	$3,835.73	2026-05-23
78816	CPT	Pet/ct Full Body	16	8	$6,220.00	$4,976.00 20% off	$2,115.00	$6,220.00	$3,835.73	2026-05-23
J9047	HCPCS	Kyprolis 60mg Sdv	76	8	$10,654.00	$9,868.00	$856.80	$10,654.00	$3,828.21	2026-05-23
62287	CPT	Lumbar Diskectomy	6	5	$3,761.00	$3,008.80	$3,761.00	$3,761.00	$3,761.00	2026-05-23
J9330	HCPCS	Torisel (temsirolimus) 25mg Kit	16	8	$6,001.00	$4,800.80 20% off	$2,115.00	$6,001.00	$3,725.50	2026-05-23
78815	CPT	Pet/ct Skull-thigh	16	8	$5,968.00	$4,774.40 20% off	$2,115.00	$5,968.00	$3,708.89	2026-05-23
22556	CPT	Lumbar Decompression	6	5	$3,660.00	$2,928.00 20% off	$3,660.00	$3,660.00	$3,660.00	2026-05-23
J3032	HCPCS	Vyepti (eptinezumab-jjmr) 100mg/ml 1ml	16	8	$5,820.00	$4,656.00 20% off	$2,115.00	$5,820.00	$3,634.40	2026-05-23
27245	CPT	IM Hip Screw	6	5	$3,610.00	$2,888.00 20% off	$3,610.00	$3,610.00	$3,610.00	2026-05-23
Q5107	HCPCS	Mvasi 400mg Sdv 16ml 25mg/ml	26	8	$8,415.00	$8,415.00	$1,088.85	$8,415.00	$3,609.10	2026-05-23
15734	CPT	Hernia Repair And Complex Abdominal Wall	16	8	$5,636.00	$4,508.80	$2,115.00	$5,636.00	$3,541.79	2026-05-23
20692	CPT	Application Of Multiplane Pin	16	8	$5,602.00	$4,481.60	$2,115.00	$5,602.00	$3,524.67	2026-05-23
Q2050	HCPCS	DOXOrubicin Liposome(doxil): 50mg/ 25ml	26	8	$5,129.00	$5,094.00	$2,115.00	$5,129.00	$3,510.35	2026-05-23
J0875	HCPCS	Dalvance IV Powder For Solution 500mg	16	8	$5,337.00	$5,337.00	$2,115.00	$5,337.00	$3,391.29	2026-05-23
22558	CPT	Lumbar Decompression	6	5	$3,362.00	$2,689.60 20% off	$3,362.00	$3,362.00	$3,362.00	2026-05-23
22585	CPT	Anterior Cervical Discectomy And Fusion	6	5	$3,362.00	$2,689.60 20% off	$3,362.00	$3,362.00	$3,362.00	2026-05-23
27125	CPT	Hemiarthroplasty Hip	6	5	$3,323.00	$2,658.40 20% off	$3,323.00	$3,323.00	$3,323.00	2026-05-23
J0135	HCPCS	Zz Humira Pen (adalimumab) Do Not Use	16	8	$5,191.95	$4,153.56	$2,115.00	$5,191.95	$3,318.28	2026-05-23
J1448	HCPCS	COSela 300mg Sdv	26	8	$4,881.00	$4,686.00	$2,115.00	$4,881.00	$3,312.23	2026-05-23
49520	CPT	Recurrent Inguinal Hernia + 90	16	8	$5,072.00	$4,057.60 20% off	$2,115.00	$5,072.00	$3,257.91	2026-05-23
22551	CPT	Lumbar Decompression	11	5	$3,761.00	$3,008.80	$2,751.00	$3,761.00	$3,256.00	2026-05-23
J9259	HCPCS	Abraxane IV Pwd For Susp 100mg	16	8	$4,959.00	$4,959.00	$2,115.00	$4,959.00	$3,201.03	2026-05-23
J3110	HCPCS	Zzforteo Pen 20 Mcg/2.4ml (teriparatide)	16	8	$4,910.55	$3,928.44 20% off	$2,115.00	$4,910.55	$3,176.64	2026-05-23
44143	CPT	Colectomy, Partial With End Colostomy	16	8	$4,871.00	$3,896.80	$2,115.00	$4,871.00	$3,156.74	2026-05-23
0376T	CPT	Zz Do Not Use	16	8	$4,808.00	$3,846.40 20% off	$2,115.00	$4,808.00	$3,125.03	2026-05-23
22513	CPT	Kypohplasty Thoracic	11	5	$3,916.00	$3,132.80	$2,274.00	$3,916.00	$3,095.00	2026-05-23
27447	CPT	Arthroplasty Left Total Knee	16	8	$6,715.00	$5,372.00 20% off	$2,115.00	$6,715.00	$3,055.32	2026-05-23
Q0249	HCPCS	Actemra (tocilizumab) 80mg/4ml Sdv	41	8	$8,009.00	$8,009.00	$833.85	$8,009.00	$3,048.96	2026-05-23
27486	CPT	Rev Total Knee Arthrp 1 Component	16	8	$4,603.00	$3,682.40 20% off	$2,115.00	$4,603.00	$3,021.84	2026-05-23
J2357	HCPCS	Xolair (omalizumab) 150mg Vial	26	8	$4,418.00	$4,155.00	$2,115.00	$4,418.00	$3,012.05	2026-05-23
Q5118	HCPCS	Zirabev 400mg Sdv 16ml	31	8	$7,403.00	$5,922.40 20% off	$959.82	$7,403.00	$3,002.89	2026-05-23
29874	CPT	Authroscopy Knee Removal Of Foreign Body	21	8	$6,345.00	$5,076.00 20% off	$1,181.16	$6,345.00	$2,989.29	2026-05-23
44140	CPT	Colectomy Partial With Anastomosis	21	8	$4,190.00	$3,352.00 20% off	$2,115.00	$4,190.00	$2,974.22	2026-05-23
J7327	HCPCS	Monovisc 22mg/ml Syringe	16	8	$4,500.00	$4,500.00	$2,115.00	$4,500.00	$2,970.00	2026-05-23
J1439	HCPCS	Injectafer (carboxymaltose) 750mg 15ml	16	8	$4,468.00	$4,468.00	$2,115.00	$4,468.00	$2,953.89	2026-05-23
44204	CPT	Laparoscopy, Surgical, Colectomy Partial	16	8	$4,463.00	$3,570.40 20% off	$2,115.00	$4,463.00	$2,951.38	2026-05-23
27222	CPT	Acetabulum With Manipulation	21	8	$4,270.00	$3,416.00 20% off	$1,797.75	$4,270.00	$2,926.94	2026-05-23
J9170	HCPCS	ZZDOCEtaxel (taxotere) Do Not Use	16	8	$4,323.00	$3,458.40 20% off	$2,115.00	$4,323.00	$2,880.91	2026-05-23
44950	CPT	Appendectomy, Open +60	36	8	$5,887.00	$4,709.60	$1,299.48	$5,887.00	$2,871.08	2026-05-23
J9179	HCPCS	Halaven Intravenous Solution 1mg/2ml	16	8	$4,272.00	$4,272.00	$2,115.00	$4,272.00	$2,855.24	2026-05-23
58150	CPT	Total Hysterectomy (corpus And Cervix);w	6	5	$2,798.00	$2,238.40	$2,798.00	$2,798.00	$2,798.00	2026-05-23
49566	CPT	Zz Hernia Repair Do Not Use	6	5	$2,754.00	$2,203.20 20% off	$2,754.00	$2,754.00	$2,754.00	2026-05-23
22554	CPT	Lumbar Decompression	6	5	$2,751.00	$2,200.80	$2,751.00	$2,751.00	$2,751.00	2026-05-23
15830	CPT	Panniculectomy	16	8	$4,064.00	$3,251.20 20% off	$2,072.64	$4,064.00	$2,750.55	2026-05-23
C1768	HCPCS	Vascular Graft Propaten 4-7x45cm	16	8	$4,058.00	$3,246.40 20% off	$2,069.58	$4,058.00	$2,747.53	2026-05-23
27446	CPT	Arthroplasty, Knee, Condyle And Plateau,	16	8	$4,038.00	$3,230.40 20% off	$2,059.38	$4,038.00	$2,737.46	2026-05-23
J9268	HCPCS	Nipent (pentostatin) 10mg Vial	16	8	$3,991.20	$3,991.20	$2,035.51	$3,991.20	$2,713.90	2026-05-23
19307LT	OTHER	Mastectomy	11	8	$3,308.00	$2,646.40 20% off	$2,115.00	$3,308.00	$2,711.50	2026-05-23
28118	CPT	Ostectomy, Calcaneus	11	5	$3,885.00	$3,108.00 20% off	$1,526.00	$3,885.00	$2,705.50	2026-05-23
44160	CPT	Colectomy Partial With Removal Of Ileum	16	8	$3,915.00	$3,132.00 20% off	$1,996.65	$3,915.00	$2,675.55	2026-05-23
91311	CPT	SPIKEvax (covid-19 Vaccine, Mrna 23-24	16	8	$3,885.00	$3,885.00	$1,981.35	$3,885.00	$2,660.45	2026-05-23
J0490	HCPCS	Benlysta 400mg Sdv	16	8	$3,884.00	$3,107.20 20% off	$1,980.84	$3,884.00	$2,659.95	2026-05-23
90375	CPT	Rabies Immunoglobulin 150iu/ml 2ml Vl	48	8	$6,124.50	$6,124.50	$1,041.42	$6,124.50	$2,633.54	2026-05-23
73723LT	OTHER	MRI Lt Joint Low Ext Wo&w Contrast	11	8	$3,116.00	$2,492.80	$2,115.00	$3,116.00	$2,615.50	2026-05-23
73720LT	OTHER	MRI Lt Low Ext Wo&w Contrast	11	8	$3,116.00	$2,492.80	$2,115.00	$3,116.00	$2,615.50	2026-05-23
C1781	HCPCS	Mesh Ventralight St With Echo 2 Pos 7'x9	261	8	$19,817.00	$15,853.60 20% off	$117.30	$19,817.00	$2,607.51	2026-05-23
73223LT	OTHER	MRI Lt Joint Up Ext Wo&w Contrast	11	8	$3,082.00	$2,465.60 20% off	$2,115.00	$3,082.00	$2,598.50	2026-05-23
73723RT	OTHER	MRI Rt Joint Low Ext Wo&w Contrast	11	8	$3,080.00	$2,464.00 20% off	$2,115.00	$3,080.00	$2,597.50	2026-05-23
73220RT	OTHER	MRI Rt Up Ext W/o&w Contrast	11	8	$3,079.00	$2,463.20 20% off	$2,115.00	$3,079.00	$2,597.00	2026-05-23
73220LT	OTHER	MRI Lt Up Ext W/o&w Contrast	11	8	$3,077.00	$2,461.60 20% off	$2,115.00	$3,077.00	$2,596.00	2026-05-23
63005	CPT	Decompressive Laminectomy	6	5	$2,595.00	$2,076.00 20% off	$2,595.00	$2,595.00	$2,595.00	2026-05-23
73720RT	OTHER	MRI Rt Low Ext Wo&w Contrast	11	8	$3,043.00	$2,434.40 20% off	$2,115.00	$3,043.00	$2,579.00	2026-05-23
27502	CPT	Femoral Shaft With Manipulation	21	8	$3,920.00	$3,136.00 20% off	$1,443.81	$3,920.00	$2,577.45	2026-05-23
73223RT	OTHER	MRI Rt Joint Up Ext Wo&w Contrast	11	8	$3,005.00	$2,404.00 20% off	$2,115.00	$3,005.00	$2,560.00	2026-05-23
47562	CPT	Lap Chole +60	36	8	$4,400.00	$3,520.00 20% off	$1,299.48	$4,400.00	$2,550.32	2026-05-23
28585	CPT	Open Talotarsal Joint Dislocation	6	5	$2,502.00	$2,001.60 20% off	$2,502.00	$2,502.00	$2,502.00	2026-05-23
27268	CPT	Proximal Femerol With Manipulation	21	8	$3,888.00	$3,110.40 20% off	$1,340.79	$3,888.00	$2,493.20	2026-05-23
42415	CPT	Excision Of Parotoid Tumor Or Gland Late	16	8	$3,551.00	$2,840.80	$1,811.01	$3,551.00	$2,492.34	2026-05-23
24341	CPT	Repair Tendon Or Muscle Upper Arm;elbow	21	8	$3,474.00	$2,779.20 20% off	$1,771.74	$3,474.00	$2,484.68	2026-05-23
J0129	HCPCS	Orencia (abatacept/maltose) 250mg Vial	16	8	$3,526.70	$2,821.36	$1,798.62	$3,526.70	$2,480.11	2026-05-23
27244	CPT	Orif Hip Fracture(intertrochanteric Hip	6	5	$2,466.00	$1,972.80 20% off	$2,466.00	$2,466.00	$2,466.00	2026-05-23
27510	CPT	Distal Femoral With Manipulation	21	8	$3,745.00	$2,996.00 20% off	$1,329.06	$3,745.00	$2,448.76	2026-05-23
26567	CPT	Ostomy Phalanx Of Finger Each	6	5	$2,448.00	$1,958.40	$2,448.00	$2,448.00	$2,448.00	2026-05-23
44970	CPT	Laparoscopy; Surgical; Appendectomy	41	8	$4,400.00	$3,520.00 20% off	$1,299.48	$4,400.00	$2,441.28	2026-05-23
72156	CPT	MRI Cervical Spine Wo&w Contrast	16	8	$3,430.00	$2,744.00 20% off	$1,749.30	$3,430.00	$2,431.43	2026-05-23
72157	CPT	MRI Thoracic Spine Wo&w Contrast	16	8	$3,416.00	$2,732.80	$1,742.16	$3,416.00	$2,424.39	2026-05-23
J9350	HCPCS	Zzhycamtin(topetecan) 4.0mg (do Not Use	16	8	$3,386.90	$2,709.52 20% off	$1,727.32	$3,386.90	$2,409.74	2026-05-23
22514	CPT	Kypohplasty Lumbar	21	8	$3,474.00	$2,779.20 20% off	$1,771.74	$3,474.00	$2,408.68	2026-05-23
71555	CPT	MRA Chest With Or Without Contrast	16	8	$3,379.00	$2,703.20 20% off	$1,723.29	$3,379.00	$2,405.76	2026-05-23
27236	CPT	Orif Hip Fracture(intertrochanteric Hip	6	5	$2,396.00	$1,916.80 20% off	$2,396.00	$2,396.00	$2,396.00	2026-05-23
J3240	HCPCS	Thyrogen (thyrotropin Alpha) 1.1mg Inj	16	8	$3,342.50	$3,342.50	$1,704.68	$3,342.50	$2,387.39	2026-05-23
J1950	HCPCS	Zzleuprolide (lupron Dep)3.75mg(do Not U	31	8	$5,403.00	$4,322.40 20% off	$796.14	$5,403.00	$2,365.30	2026-05-23
15115	CPT	Epidermal Autograft Face Scalp Eyelid Mo	21	8	$2,924.00	$2,339.20 20% off	$1,491.24	$2,924.00	$2,359.56	2026-05-23
73722LT	OTHER	MRI Lt Joint Low Ext W/contrast	11	8	$2,598.00	$2,078.40	$2,115.00	$2,598.00	$2,356.50	2026-05-23
73718RT	OTHER	MRI Rt Low Ext Without Contrast	11	8	$2,575.00	$2,060.00 20% off	$2,115.00	$2,575.00	$2,345.00	2026-05-23
73225	CPT	MRA Up Ext Wo&w Contrast	16	8	$3,244.00	$2,595.20 20% off	$1,654.44	$3,244.00	$2,337.81	2026-05-23
81162	CPT	Brca1/brca2 Use Kit Test-dont Order This	16	8	$3,242.00	$2,593.60 20% off	$1,653.42	$3,242.00	$2,336.81	2026-05-23
73721RT	OTHER	MRI Rt Joint Low Ext Without Contrast	11	8	$2,548.00	$2,038.40	$2,115.00	$2,548.00	$2,331.50	2026-05-23
J0881EC	OTHER	Zzaranesp 1 Mcg(100mcg Syr) Non-chemo	46	8	$11,610.00	$9,288.00 20% off	$14.40	$11,610.00	$2,328.16	2026-05-23
1999	OTHER	Anesthesia-unlisted	22	8	$2,856.00	$2,284.80	$1,456.56	$2,856.00	$2,320.89	2026-05-23
49255	CPT	Omentectomy	6	5	$2,316.00	$1,852.80 20% off	$2,316.00	$2,316.00	$2,316.00	2026-05-23
77084	CPT	MRI Bone Marrow Blood Supply	16	8	$3,189.00	$2,551.20 20% off	$1,626.39	$3,189.00	$2,310.13	2026-05-23
47564	CPT	Laparoscopic Cholecystectomy Procedure	16	8	$3,181.00	$2,544.80	$1,622.31	$3,181.00	$2,306.10	2026-05-23
29882	CPT	Arthroscopy With Meniscus Repair	21	8	$3,222.00	$2,577.60 20% off	$1,299.48	$3,222.00	$2,296.12	2026-05-23
29827	CPT	Rotator Cuff Repair	21	8	$3,743.00	$2,994.40 20% off	$1,102.62	$3,743.00	$2,280.66	2026-05-23
J7298	HCPCS	IUD Mirena	16	8	$3,123.00	$2,498.40 20% off	$1,592.73	$3,123.00	$2,276.91	2026-05-23
44180	CPT	Laproscopy, Surgical Enterolysis	16	8	$3,114.00	$2,491.20 20% off	$1,588.14	$3,114.00	$2,272.38	2026-05-23
73722RT	OTHER	MRI Rt Joint Low Ext W/contrast	11	8	$2,427.00	$1,941.60 20% off	$2,115.00	$2,427.00	$2,271.00	2026-05-23
4965050	OTHER	Open Treatment Femoral Supracondylar Fra	11	8	$2,426.00	$1,940.80 20% off	$2,115.00	$2,426.00	$2,270.50	2026-05-23
73702RT	OTHER	CT Rt Low Ext Wo And W Contrast	11	8	$2,424.00	$1,939.20 20% off	$2,115.00	$2,424.00	$2,269.50	2026-05-23
73702LT	OTHER	CT Lt Low Ext Wo And W Contrast	11	8	$2,424.00	$1,939.20 20% off	$2,115.00	$2,424.00	$2,269.50	2026-05-23
27848	CPT	Open Tx Ankle Disloc; W-without Percutaneous	6	5	$2,269.00	$1,815.20 20% off	$2,269.00	$2,269.00	$2,269.00	2026-05-23
73718LT	OTHER	MRI Lt Low Ext Without Contrast	11	8	$2,419.00	$1,935.20 20% off	$2,115.00	$2,419.00	$2,267.00	2026-05-23
71552	CPT	MRI Chest W/o&w Contrast	16	8	$3,092.00	$2,473.60 20% off	$1,576.92	$3,092.00	$2,261.31	2026-05-23
22515	CPT	Kypohplasty Additional Level	6	5	$2,259.00	$1,807.20 20% off	$2,259.00	$2,259.00	$2,259.00	2026-05-23
58291	CPT	Vaginal Hysterectomy Over 250 Grams	16	8	$3,087.00	$2,469.60 20% off	$1,574.37	$3,087.00	$2,258.79	2026-05-23
72197	CPT	MRI Pelvis Wo&w Contrast	16	8	$3,085.00	$2,468.00 20% off	$1,573.35	$3,085.00	$2,257.78	2026-05-23
72159	CPT	MRA Spine Wo&w Contrast	16	8	$3,066.00	$2,452.80	$1,563.66	$3,066.00	$2,248.22	2026-05-23
73719LT	OTHER	MRI Lt Low Ext W/contrast	11	8	$2,372.00	$1,897.60 20% off	$2,115.00	$2,372.00	$2,243.50	2026-05-23
73719RT	OTHER	MRI Rt Low Ext W/contrast	11	8	$2,372.00	$1,897.60 20% off	$2,115.00	$2,372.00	$2,243.50	2026-05-23
73721LT	OTHER	MRI Lt Joint Low Ext Without Contrast	11	8	$2,371.00	$1,896.80 20% off	$2,115.00	$2,371.00	$2,243.00	2026-05-23
95810	CPT	Full Sleep Study	16	8	$3,051.00	$2,440.80	$1,556.01	$3,051.00	$2,240.67	2026-05-23
J0897	HCPCS	Xgeva (denosumab) 120mg Sdv	43	8	$10,349.00	$9,856.00	$2,115.00	$10,349.00	$2,240.30	2026-05-23
74185	CPT	MRA Abd With Or Without Contrast	16	8	$3,033.00	$2,426.40 20% off	$1,546.83	$3,033.00	$2,231.61	2026-05-23
73725	CPT	MRA Low Ext With Or Without Contrast	16	8	$3,033.00	$2,426.40 20% off	$1,546.83	$3,033.00	$2,231.61	2026-05-23
27130	CPT	Arthoplasty Aceteabular And Proximal Fem	16	8	$5,183.00	$4,146.40 20% off	$2,115.00	$5,183.00	$2,228.69	2026-05-23
70546	CPT	MRA Brain W/o&w Contrast	16	8	$3,022.00	$2,417.60 20% off	$1,541.22	$3,022.00	$2,226.07	2026-05-23
73221LT	OTHER	MRI Lt Joint Up Ext Without Contrast	11	8	$2,329.00	$1,863.20 20% off	$2,115.00	$2,329.00	$2,222.00	2026-05-23
73219LT	OTHER	MRI Lt Up Ext W/contrast	11	8	$2,318.00	$1,854.40	$2,115.00	$2,318.00	$2,216.50	2026-05-23
73219RT	OTHER	MRI Rt Up Ext W/contrast	11	8	$2,318.00	$1,854.40	$2,115.00	$2,318.00	$2,216.50	2026-05-23
73222RT	OTHER	MRI Rt Joint Up Ext W/contrast	11	8	$2,316.00	$1,852.80 20% off	$2,115.00	$2,316.00	$2,215.50	2026-05-23
73222LT	OTHER	MRI Lt Joint Up Ext W/contrast	11	8	$2,316.00	$1,852.80 20% off	$2,115.00	$2,316.00	$2,215.50	2026-05-23
6943650	OTHER	Bilateral Tympanostomy	11	8	$2,316.00	$1,852.80 20% off	$2,115.00	$2,316.00	$2,215.50	2026-05-23
73221RT	OTHER	MRI Rt Joint Up Ext Without Contrast	11	8	$2,313.00	$1,850.40	$2,115.00	$2,313.00	$2,214.00	2026-05-23
66982	CPT	Complex Cataract Rmvl W/lens	16	8	$2,996.00	$2,396.80	$1,527.96	$2,996.00	$2,212.99	2026-05-23
59409	CPT	ER Vaginal Delivery	21	8	$3,057.00	$2,445.60 20% off	$1,230.12	$3,057.00	$2,203.53	2026-05-23
49653	CPT	Zz Lap Vent/abd Hern Proc Do Not Use	21	8	$2,757.00	$2,205.60 20% off	$1,406.07	$2,757.00	$2,166.02	2026-05-23
23040	CPT	Incicion Procedure On The Shoulder And J	6	5	$2,162.00	$1,729.60 20% off	$2,162.00	$2,162.00	$2,162.00	2026-05-23
27235	CPT	Percutaneous Pinning Hip	26	8	$3,367.00	$2,693.60 20% off	$1,124.55	$3,367.00	$2,156.31	2026-05-23
J0585	HCPCS	Botox Ds 200 Units Vl	31	8	$3,906.00	$3,124.80	$996.03	$3,906.00	$2,152.51	2026-05-23
72198	CPT	MRA Pelvis Wo&w Contrast	16	8	$2,871.00	$2,296.80	$1,464.21	$2,871.00	$2,150.07	2026-05-23
29898	CPT	Arthroscopy Of Ankle Depri Ext	21	8	$2,634.00	$2,107.20 20% off	$1,299.48	$2,634.00	$2,149.12	2026-05-23
J9312	HCPCS	riTUXimab(RITUXAN):100MG	16	8	$2,861.00	$2,861.00	$1,459.11	$2,861.00	$2,145.04	2026-05-23
26123	CPT	Fassciectomy; Palmar With Or Without Z-p	21	8	$2,743.00	$2,194.40	$1,398.93	$2,743.00	$2,141.23	2026-05-23
70544	CPT	MRA Brain Without Contrast	16	8	$2,139.00	$1,711.20 20% off	$1,090.89	$2,139.00	$2,139.00	2026-05-23
Q4088	HCPCS	Zz Gammagard Do Not Use	16	8	$2,844.10	$2,275.28	$1,450.49	$2,844.10	$2,136.53	2026-05-23
13160	CPT	Secondary Closure Of Surgical Wound	21	8	$2,964.00	$2,371.20 20% off	$1,166.37	$2,964.00	$2,133.09	2026-05-23
C8908	HCPCS	MRI Breast W Wo Contrast Bilateral	16	8	$2,826.00	$2,260.80	$1,441.26	$2,826.00	$2,127.42	2026-05-23
27610	CPT	I & D Of Abcess; Ankle	6	5	$2,126.00	$1,700.80 20% off	$2,126.00	$2,126.00	$2,126.00	2026-05-23
29824	CPT	Shoulder Subacromial Decompression	6	5	$2,123.00	$1,698.40	$2,123.00	$2,123.00	$2,123.00	2026-05-23
70543	CPT	MRI Orbit/face/neck W/o&w Contrast	26	8	$2,957.00	$2,365.60 20% off	$1,356.60	$2,957.00	$2,119.33	2026-05-23
Q2048	HCPCS	Zz Nst 20mg 2mg/ml Do Not Use	16	8	$2,797.30	$2,237.84 20% off	$1,426.62	$2,797.30	$2,112.97	2026-05-23
78585	CPT	Zz Do Not Use	16	8	$2,791.00	$2,232.80	$1,423.41	$2,791.00	$2,109.80	2026-05-23
J3111	HCPCS	Evenity 210mg/2.34ml	25	8	$7,511.00	$7,511.00	$2,115.00	$7,511.00	$2,102.92	2026-05-23
15110	CPT	Epidermal Autograft Trunk Arm Leg 100 Sq	21	8	$2,928.00	$2,342.40	$1,136.79	$2,928.00	$2,102.20	2026-05-23
J9055	HCPCS	Zzerbitux (cetuximab):10mg	61	8	$5,061.00	$4,867.00	$110.70	$5,061.00	$2,100.72	2026-05-23
58262	CPT	Vaginal Hysterectomy W/removal Of Tubes	16	8	$2,756.00	$2,204.80	$1,405.56	$2,756.00	$2,092.19	2026-05-23
25115	CPT	Excision Procedures On The Forearm And W	16	8	$2,753.00	$2,202.40	$1,404.03	$2,753.00	$2,090.68	2026-05-23
72147	CPT	MRI Thoracic Spine W/contrast	16	8	$2,751.00	$2,200.80	$1,403.01	$2,751.00	$2,089.67	2026-05-23
29879	CPT	Micro Fracture	26	8	$3,126.00	$2,500.80	$1,299.48	$3,126.00	$2,082.70	2026-05-23
J7301	HCPCS	IUD Skyla	16	8	$2,731.00	$2,184.80	$1,392.81	$2,731.00	$2,079.60	2026-05-23
72194	CPT	CT Pelvis Wo And W Contrast	16	8	$2,727.00	$2,181.60 20% off	$1,390.77	$2,727.00	$2,077.59	2026-05-23
74181	CPT	MRI Abd Without Contrast	16	8	$2,724.00	$2,179.20 20% off	$1,389.24	$2,724.00	$2,076.08	2026-05-23
70552	CPT	MRI Brain W/contrast	16	8	$2,720.00	$2,176.00 20% off	$1,387.20	$2,720.00	$2,074.07	2026-05-23
15240	CPT	Full Thickness Graft, Free, Including Cl	16	8	$2,691.00	$2,152.80	$1,372.41	$2,691.00	$2,059.47	2026-05-23
24685	CPT	Open Treatment Of Ulnar Fracture	21	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$2,032.57	2026-05-23
73218LT	OTHER	MRI Lt Up Ext Without Contrast	11	8	$2,032.00	$1,625.60 20% off	$2,032.00	$2,032.00	$2,032.00	2026-05-23
26727	CPT	Percutaneous Skeletal Fix Filangeal	6	5	$2,025.00	$1,620.00 20% off	$2,025.00	$2,025.00	$2,025.00	2026-05-23
86711	CPT	Stratify Jcv Ab Inhibition Assay	16	8	$2,618.00	$2,094.40	$1,335.18	$2,618.00	$2,022.73	2026-05-23
78465	CPT	Zz Do Not Use	16	8	$2,602.00	$2,081.60 20% off	$1,327.02	$2,602.00	$2,014.67	2026-05-23
74182	CPT	MRI Abd W/contrast	16	8	$2,600.00	$2,080.00 20% off	$1,326.00	$2,600.00	$2,013.67	2026-05-23
30117	CPT	Excision Or Destruction Intranasal Lesio	16	8	$2,597.00	$2,077.60 20% off	$1,324.47	$2,597.00	$2,012.16	2026-05-23
26685	CPT	Open Carpometacarpal Dislocation	21	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$2,005.32	2026-05-23
J2325	HCPCS	Zznatrecor 1.5mg Inj	16	8	$2,555.00	$2,044.00 20% off	$1,303.05	$2,555.00	$1,991.02	2026-05-23
73218RT	OTHER	MRI Rt Up Ext Without Contrast	11	8	$1,991.00	$1,592.80 20% off	$1,991.00	$1,991.00	$1,991.00	2026-05-23
49652	CPT	Zz Laproscopy Hernia Do Not Use	21	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,990.32	2026-05-23
Q4100	HCPCS	Skin Substitute Not Otherwise Specified	16	8	$2,552.00	$2,041.60 20% off	$1,301.52	$2,552.00	$1,989.51	2026-05-23
58260	CPT	Vaginal Hysterectomy; Under 250 Grams	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
31625	CPT	Bronch W/biopsy	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
58740	CPT	Lysis Of Abdominal Adhesions	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
58661	CPT	Lap W/removal Salpingo/oophorectomy	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
42821	CPT	Tonsillectomy 12 Years And Over	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
49329	CPT	Lap Procedure Abdomen	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
41899	CPT	Unlisted Dentoalveolar Structure	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
42820	CPT	Tonsil And Adenoid Removal	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
42826	CPT	Tonsillectomy Age 12 Or Over	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
42825	CPT	Tonsillectomy Younger Than 12	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
58615	CPT	Occlusion Fallopian Tube Vaginal Or Supr	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
49651	CPT	Hernia Repair And Complex Abdominal Wall	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
58671	CPT	Laproscopy Tubal Ligation With Clips	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
55520	CPT	Excision Of Lesion Of Spermatic Cord	16	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,987.49	2026-05-23
49585	CPT	Zz Repair Umbilical Hernia; Do Not Use	31	8	$3,308.00	$2,646.40 20% off	$1,140.00	$3,308.00	$1,985.56	2026-05-23
95805	CPT	Multiple Sleep Latency	16	8	$2,543.00	$2,034.40	$1,296.93	$2,543.00	$1,984.98	2026-05-23
95810 52	OTHER	Partial Sleep Study	11	8	$1,983.00	$1,586.40	$1,983.00	$1,983.00	$1,983.00	2026-05-23
27252	CPT	Closed Treatment Of Hip Dislocation Req	41	8	$3,601.00	$2,880.80	$911.37	$3,601.00	$1,981.05	2026-05-23
29875	CPT	Limited Synovectomy	36	8	$2,654.00	$2,123.20 20% off	$1,181.16	$2,654.00	$1,980.66	2026-05-23
27766	CPT	Open Treatment Of Medial Malleous Fractu	21	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,978.82	2026-05-23
27552	CPT	Dislocated Knee With Anesthesia	21	8	$2,700.00	$2,160.00 20% off	$1,057.23	$2,700.00	$1,975.81	2026-05-23
72196	CPT	MRI Pelvis W/contrast	16	8	$2,508.00	$2,006.40	$1,279.08	$2,508.00	$1,967.36	2026-05-23
71551	CPT	MRI Chest W/contrast	16	8	$2,507.00	$2,005.60 20% off	$1,278.57	$2,507.00	$1,966.86	2026-05-23
27599	CPT	Unlisted Procedure Femur Or Knee	16	8	$2,507.00	$2,005.60 20% off	$1,278.57	$2,507.00	$1,966.86	2026-05-23
95811	CPT	Full Sleep Study W/cpap	16	8	$2,499.00	$1,999.20 20% off	$1,274.49	$2,499.00	$1,962.83	2026-05-23
70542	CPT	MRI Orbit/face/neck W/contrast	16	8	$2,488.00	$1,990.40	$1,268.88	$2,488.00	$1,957.29	2026-05-23
73202LT	OTHER	CT Lt Up Ext Wo And W Contrast	11	8	$1,957.00	$1,565.60 20% off	$1,957.00	$1,957.00	$1,957.00	2026-05-23
72142	CPT	MRI Cervical Spine W/contrast	16	8	$2,470.00	$1,976.00 20% off	$1,259.70	$2,470.00	$1,948.23	2026-05-23
72149	CPT	MRI Lumbar Spine W/contrast	16	8	$2,470.00	$1,976.00 20% off	$1,259.70	$2,470.00	$1,948.23	2026-05-23
49000	CPT	Exploratory Laparotomy	16	8	$2,456.00	$1,964.80 20% off	$1,252.56	$2,456.00	$1,941.19	2026-05-23
77012	CPT	CT Guide (bx,asp,inj,loc) Si	16	8	$2,451.00	$1,960.80 20% off	$1,250.01	$2,451.00	$1,938.67	2026-05-23
58662	CPT	Laparoscopic Procedure Of Oviduct/ovary	16	8	$2,450.00	$1,960.00 20% off	$1,249.50	$2,450.00	$1,938.17	2026-05-23
36561	CPT	Insertion Of Tunneled Central Venus Acce	16	8	$2,449.00	$1,959.20 20% off	$1,248.99	$2,449.00	$1,937.66	2026-05-23
36821	CPT	Cimino Fistula Left Forearm	21	8	$2,472.00	$1,977.60 20% off	$1,260.72	$2,472.00	$1,935.93	2026-05-23
78709	CPT	Nm Kidney Imaging/multiple	16	8	$2,439.00	$1,951.20 20% off	$1,243.89	$2,439.00	$1,932.63	2026-05-23
58563	CPT	Endometrial Ablation (thermo)	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
59812	CPT	D&c Treatment Incomplete Abortion	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
60220	CPT	Total Thyroid Lobectomy, Partial	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
33207	CPT	New/replacement Pacemaker Ventricular	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
26370	CPT	Repair Of Advancement Of Profundus Tendo	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
11771	CPT	Excision Pilonidal Cyst; Extensive	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
44120	CPT	Enterectomy Resection Small Intestine Si	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
33233	CPT	Removal Pacemaker Pulse Generator Only	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
42440	CPT	Excision Of Submandibular Gland	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
44005	CPT	Enterolysis Of Adhesions	16	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,926.09	2026-05-23
14040	CPT	Adjacent Tissue Trsf;forehead;cheeks;chi	21	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,924.07	2026-05-23
29805	CPT	Arthroscopy, Shoulder, Surgical Decompre	26	8	$3,308.00	$2,646.40 20% off	$944.00	$3,308.00	$1,922.22	2026-05-23
73202RT	OTHER	CT Rt Up Ext Wo And W Contrast	11	8	$1,921.00	$1,536.80 20% off	$1,921.00	$1,921.00	$1,921.00	2026-05-23
26420	CPT	Repair Extensor Tendon, Fing, With Graft	16	8	$2,415.00	$1,932.00 20% off	$1,231.65	$2,415.00	$1,920.55	2026-05-23
49615	CPT	Repair Of Anterior Abdominal Hernia, Any	16	8	$2,413.00	$1,930.40	$1,230.63	$2,413.00	$1,919.54	2026-05-23
27500	CPT	Femoral Shaft No Manipulation	21	8	$2,853.00	$2,282.40	$977.16	$2,853.00	$1,915.54	2026-05-23
27818	CPT	Trimalleolar Ankle With Manipulation	21	8	$2,810.00	$2,248.00 20% off	$982.77	$2,810.00	$1,911.69	2026-05-23
70548	CPT	MRA Neck W/contrast	16	8	$2,397.00	$1,917.60 20% off	$1,222.47	$2,397.00	$1,911.49	2026-05-23
26951	CPT	Amputation Finger Or Thumb	21	8	$2,316.00	$1,852.80 20% off	$1,181.16	$2,316.00	$1,906.04	2026-05-23
70553	CPT	MRI Brain W/o&w Contrast	16	8	$4,097.00	$3,277.60 20% off	$2,089.47	$4,097.00	$1,903.81	2026-05-23
27814	CPT	Lateral Bimallelar Ankle	11	5	$2,262.00	$1,809.60 20% off	$1,544.00	$2,262.00	$1,903.00	2026-05-23
24000	CPT	Arthrotomy Elbow Includ. Exploration	21	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,902.07	2026-05-23
72195	CPT	MRI Pelvis Without Contrast	16	8	$2,377.00	$1,901.60 20% off	$1,212.27	$2,377.00	$1,901.42	2026-05-23
49565	CPT	Zz Do Not Use	16	8	$2,370.00	$1,896.00 20% off	$1,208.70	$2,370.00	$1,897.90	2026-05-23
20680	CPT	Removal Of Implant; Deep, Eg, Buried Pin	21	8	$2,548.00	$2,038.40	$1,299.48	$2,548.00	$1,894.62	2026-05-23
70545	CPT	MRA Brain W/contrast	16	8	$2,356.00	$1,884.80 20% off	$1,201.56	$2,356.00	$1,890.85	2026-05-23
28120	CPT	Partial Excision Of Bone Talus Or Calcan	6	5	$1,890.00	$1,512.00 20% off	$1,890.00	$1,890.00	$1,890.00	2026-05-23
57260	CPT	Plastic Repair Of Vagina And Tissue Sepa	16	8	$2,344.00	$1,875.20 20% off	$1,195.44	$2,344.00	$1,884.81	2026-05-23
27532	CPT	Tibial With Manipulation	21	8	$2,594.00	$2,075.20 20% off	$1,002.66	$2,594.00	$1,882.16	2026-05-23
70540	CPT	MRI Orbit/face/neck Without Contrast	16	8	$2,337.00	$1,869.60 20% off	$1,191.87	$2,337.00	$1,881.29	2026-05-23
C9207	HCPCS	Zz Velcade (bortezomib3.5mg (do Not Use)	16	8	$2,335.45	$1,868.36 20% off	$1,191.08	$2,335.45	$1,880.51	2026-05-23
19305	CPT	Mastectomy, Radical Including Pectoral	21	8	$3,495.00	$2,796.00 20% off	$105.00	$3,495.00	$1,874.36	2026-05-23
22510	CPT	Vertebroplasty (bone Biopsy)	16	8	$2,316.00	$1,852.80 20% off	$1,181.16	$2,316.00	$1,870.72	2026-05-23
42830	CPT	Adenoidectomy Under 12 Yrs	16	8	$2,316.00	$1,852.80 20% off	$1,181.16	$2,316.00	$1,870.72	2026-05-23
29877	CPT	Knee Arthroscopy Debridement Shaving	26	8	$2,426.00	$1,940.80 20% off	$1,237.26	$2,426.00	$1,864.65	2026-05-23
70482	CPT	CT Orbit/ear/fossa W/o&w Contrast	16	8	$2,293.00	$1,834.40	$1,169.43	$2,293.00	$1,859.14	2026-05-23
49560	CPT	*do Not Use	16	8	$2,292.00	$1,833.60 20% off	$1,168.92	$2,292.00	$1,858.64	2026-05-23
J3590	HCPCS	Zzprolia (denosumab) 60mg Pfs 1ml	16	8	$2,286.90	$1,829.52 20% off	$1,166.32	$2,286.90	$1,856.07	2026-05-23
27792	CPT	Lateral Mallelar Ankle	11	5	$2,399.00	$1,919.20 20% off	$1,305.00	$2,399.00	$1,852.00	2026-05-23
45382	CPT	Colon With Control Bleeding	16	8	$2,251.00	$1,800.80 20% off	$1,148.01	$2,251.00	$1,838.00	2026-05-23
59820	CPT	D & C W/suction	16	8	$2,236.00	$1,788.80 20% off	$1,140.36	$2,236.00	$1,830.45	2026-05-23
72130	CPT	CT Thoracic Spine Wo And W Contrast	16	8	$2,232.00	$1,785.60 20% off	$1,138.32	$2,232.00	$1,828.44	2026-05-23
72133	CPT	CT Lumbar Spine Wo And W Contrast	16	8	$2,232.00	$1,785.60 20% off	$1,138.32	$2,232.00	$1,828.44	2026-05-23
72127	CPT	CT Cervical Spine Wo And W Contrast	16	8	$2,231.00	$1,784.80 20% off	$1,137.81	$2,231.00	$1,827.94	2026-05-23

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