Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

BURGESS HEALTH CENTER

Onawa, IA · CCN 161359 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHOCARDIOGRAM W/DOPPLER & COLOR INCLUDE

This hospital’s price: $280 across 5 payers · range $236-$565

Source: https://burgesshc.b-cdn.net/wp-content/uploads/2025/01/420859940_Burgess-Health-Center_StandardCharges.csv · observed 2026-05-23

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.

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 — reasonRows
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 viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-21
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
J9228
HCPCS 		YERvoy (IPILimuMAB) 200mg/40ml 5 $7,832.84 $48,256.00 $32,597.01 nat. median
$9,003
outlier · 3.6×
J3245
HCPCS 		ILUmya 100mg/ml Pfs 1ml 5 $16,488.61 $24,409.00 $16,488.61 nat. median
$256
outlier · 64.4×
J3357
HCPCS 		Stelara Subcutaneous Solution 45mg/0.5ml 5 $11,103.59 $26,761.04 $16,437.00 nat. median
$14,744
1.1× median
22533
CPT 		Lumbar Disectomy 1 $16,427.00 $16,427.00 $16,427.00 nat. median
$8,017
outlier · 2.0×
J9043
HCPCS 		Jevtana 60mg/1.5ml Kit 5 $13,181.32 $19,513.00 $13,181.32 nat. median
$735
outlier · 17.9×
J9223
HCPCS 		Zepzelca 4mg Sdv 5 $7,573.50 $18,219.50 $12,307.32 nat. median
$617
outlier · 19.9×
J3101
HCPCS 		Tnkase (tenecteplase) 50mg Inj 5 $7,616.88 $17,729.50 $11,976.33 nat. median
$3,820
outlier · 3.1×
J9311
HCPCS 		Rituxan Hycela 1600mg Sdv 5 $11,520.90 $17,055.00 $11,520.90 nat. median
$2,428
outlier · 4.7×
J9308
HCPCS 		Cyramza Intravenous Solution 500mg/50ml 5 $2,317.44 $17,028.00 $11,502.54 nat. median
$1,489
outlier · 7.7×
J0775
HCPCS 		Xiaflex Inj Powder For Solution 0.9mg 5 $10,074.03 $14,913.50 $11,299.56 nat. median
$114
outlier · 99.2×
J9306
HCPCS 		Perjeta (pertuzumab) 420mg Vial 5 $10,007.22 $14,814.50 $10,456.53 nat. median
$80
outlier · 131.4×
J9022
HCPCS 		TECENtriq 1200mg Sdv 20ml 5 $9,041.05 $13,384.00 $10,329.21 nat. median
$6,785
1.5× median
J9119
HCPCS 		Libtayo Intravenous Solution 350mg/7ml 5 $9,453.41 $13,994.50 $10,029.12 nat. median
$91
outlier · 110.2×
J2506
HCPCS 		Neulasta (pegfilgrastim) 6mg/0.6ml Inj 5 $9,819.54 $14,536.50 $9,819.54 nat. median
$1,646
outlier · 6.0×
J9144
HCPCS 		DARZalex FASpro 1800mg-30000 Sdv 15ml 5 $8,898.23 $13,172.50 $9,704.97 nat. median
$211
outlier · 45.9×
J0717
HCPCS 		Cimzia Pfs 2x200mg/1ml Kit *400mg* 5 $3,775.40 $12,954.00 $8,750.58 nat. median
$1,598
outlier · 5.5×
J3380
HCPCS 		Entyvio Intravenous Pwd For Soln 300mg 5 $7,955.92 $11,777.00 $8,592.17 nat. median
$162
outlier · 53.0×
24538
CPT 		Percutaneous Skeletal Fix Humeral Fractu 1 $8,253.00 $8,253.00 $8,253.00 nat. median
$6,667
1.2× median
J9316
HCPCS 		Phesgo 600mg-600mg Sdv 10ml 5 $7,776.38 $11,511.50 $7,776.38 nat. median
$384
outlier · 20.3×
J1162
HCPCS 		Digifab 40mg/vial Inj 5 $7,317.99 $10,833.00 $7,610.22 nat. median
$7,141
1.1× median
J2353
HCPCS 		Zzsandostatin Lar 20mg 5 $2,800.21 $10,576.38 $7,062.99 nat. median
$5,573
1.3× median
J9173
HCPCS 		IMFinzi 500mg/10ml Sdv 5 $6,337.26 $9,381.50 $6,592.26 nat. median
$1,119
outlier · 5.9×
J9354
HCPCS 		Kadcyla IV Powder For Solution 100mg 5 $6,035.34 $8,934.50 $6,125.61 nat. median
$4,219
1.5× median
Q5122
HCPCS 		Nyvepria 6mg Pfs 0.6ml 5 $6,005.25 $8,890.00 $6,005.25 nat. median
$561
outlier · 10.7×
J2182
HCPCS 		Nucala Pfs 100mg/ml 5 $5,644.17 $8,355.50 $5,871.12 nat. median
$2,791
outlier · 2.1×
Q5117
HCPCS 		Kanjinti 420mg Mdv 5 $2,102.22 $8,657.50 $5,848.17 nat. median
$802
outlier · 7.3×
J9271
HCPCS 		Keytruda Intravenous Solution 100mg/4ml 5 $5,522.40 $8,175.00 $5,522.40 nat. median
$276
outlier · 20.0×
Q5119
HCPCS 		Ruxience 500mg Sdv 50ml 5 $1,117.92 $8,149.00 $5,504.94 nat. median
$826
outlier · 6.7×
J9358
HCPCS 		Enhertu 100mg Sdv 5 $4,318.17 $6,392.50 $4,743.51 nat. median
$95
outlier · 49.8×
44207
CPT 		Laparoscopy; Surg; Colectomy; Partial; W 1 $4,696.00 $4,696.00 $4,696.00 nat. median
$3,934
1.2× median
44210
CPT 		Laparoscopy;surgical;colectomy;total;abd 1 $4,589.00 $4,589.00 $4,589.00 nat. median
$3,709
1.2× median
J9205
HCPCS 		ONIVyde (irinotecan Liposomal) 43mg 10ml 5 $4,358.97 $6,452.50 $4,579.29 nat. median
$202
outlier · 22.7×
J9033
HCPCS 		Bendeka (bendamustine) 100mg Vl 20ml 5 $4,568.07 $6,762.50 $4,568.07 nat. median
$333
outlier · 13.7×
J0402
HCPCS 		Abilify Maintena 400mg Syringe 5 $4,443.63 $6,578.00 $4,443.63 nat. median
$8
outlier · 555.5×
J0401
HCPCS 		Abilify Maintena 400mg Syringe 5 $4,314.60 $6,387.00 $4,314.60 nat. median
$1,939
outlier · 2.2×
J2802
HCPCS 		NPLate 250mcg Sdv 0.5ml 5 $4,212.09 $6,235.50 $4,212.09 nat. median
$2,850
1.5× median
27513
CPT 		Open Treatment Femoral Supracondylar Fra 1 $4,184.00 $4,184.00 $4,184.00 nat. median
$5,156
0.8× median
J9218
HCPCS 		Eligard (leuprolide Acetate) 45mg Inj 5 $4,146.30 $6,138.00 $4,146.30 nat. median
$322
outlier · 12.9×
J9217
HCPCS 		Eligard (leuprolide Acetate) 45mg Inj 5 $2,073.15 $8,468.55 $4,146.30 nat. median
$1,575
outlier · 2.6×
Q5129
HCPCS 		Vegzelma 400mg Sdv 16ml 5 $4,145.79 $6,137.00 $4,145.79 nat. median
$307
outlier · 13.5×
J2796
HCPCS 		Nplate (romiPLOStim) 250mcg/0.5ml Vial 5 $3,209.05 $5,938.50 $4,011.66 nat. median
$1,463
outlier · 2.7×
J0517
HCPCS 		Fasenra 30mg Pfs 5 $3,958.60 $5,859.50 $3,958.60 nat. median
$919
outlier · 4.3×
J9317
HCPCS 		Trodelvy IV Pwdforsoln 180mg 5 $3,791.34 $5,612.50 $3,943.83 nat. median
$109
outlier · 36.0×
28118
CPT 		Ostectomy Calcaneus 1 $3,885.00 $3,885.00 $3,885.00 nat. median
$3,411
1.1× median
J7168
HCPCS 		Kcentra (prothrombin Complex) 502iu Sdv 5 $2,364.36 $5,034.72 $3,838.00 nat. median
$21
outlier · 182.8×
Q5118
HCPCS 		Zirabev 400mg Sdv 16ml 5 $959.82 $5,589.00 $3,775.53 nat. median
$790
outlier · 4.8×
62287
CPT 		Lumbar Diskectomy 1 $3,761.00 $3,761.00 $3,761.00 nat. median
$3,063
1.2× median
22556
CPT 		Lumbar Decompression 1 $3,660.00 $3,660.00 $3,660.00 nat. median
$7,460
outlier · 0.5×
27245
CPT 		IM Hip Screw 1 $3,610.00 $3,610.00 $3,610.00 nat. median
$4,542
0.8× median
Q2049
HCPCS 		Zzlipodox Inst 50mg 2mg/ml Vial 5 $3,524.61 $5,278.00 $3,565.41 nat. median
$555
outlier · 6.4×

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.

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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
             
J9228 HCPCS YERvoy (IPILimuMAB) 200mg/40ml 11 5 $63,915.70 $51,132.56 20% off $7,832.84 $48,256.00 $32,597.01 2026-05-23
J3245 HCPCS ILUmya 100mg/ml Pfs 1ml 6 5 $32,330.60 $25,864.48 20% off $16,488.61 $24,409.00 $16,488.61 2026-05-23
J3357 HCPCS Stelara Subcutaneous Solution 45mg/0.5ml 21 5 $26,236.35 $21,771.75 $11,103.59 $26,761.04 $16,437.00 2026-05-23
22533 CPT Lumbar Disectomy 1 1 $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 6 5 $25,845.72 $20,676.57 20% off $13,181.32 $19,513.00 $13,181.32 2026-05-23
J9223 HCPCS Zepzelca 4mg Sdv 11 5 $24,132.00 $24,132.00 $7,573.50 $18,219.50 $12,307.32 2026-05-23
J3101 HCPCS Tnkase (tenecteplase) 50mg Inj 11 5 $23,483.00 $23,483.00 $7,616.88 $17,729.50 $11,976.33 2026-05-23
J9311 HCPCS Rituxan Hycela 1600mg Sdv 6 5 $22,590.00 $22,590.00 $11,520.90 $17,055.00 $11,520.90 2026-05-23
J9308 HCPCS Cyramza Intravenous Solution 500mg/50ml 11 5 $22,554.00 $18,043.20 $2,317.44 $17,028.00 $11,502.54 2026-05-23
J0775 HCPCS Xiaflex Inj Powder For Solution 0.9mg 11 5 $19,753.00 $19,753.00 $10,074.03 $14,913.50 $11,299.56 2026-05-23
J9306 HCPCS Perjeta (pertuzumab) 420mg Vial 11 5 $19,622.00 $19,622.00 $10,007.22 $14,814.50 $10,456.53 2026-05-23
J9022 HCPCS TECENtriq 1200mg Sdv 20ml 11 5 $17,727.55 $17,727.55 $9,041.05 $13,384.00 $10,329.21 2026-05-23
J9119 HCPCS Libtayo Intravenous Solution 350mg/7ml 11 5 $18,536.10 $18,536.10 $9,453.41 $13,994.50 $10,029.12 2026-05-23
J2506 HCPCS Neulasta (pegfilgrastim) 6mg/0.6ml Inj 6 5 $19,254.00 $19,254.00 $9,819.54 $14,536.50 $9,819.54 2026-05-23
J9144 HCPCS DARZalex FASpro 1800mg-30000 Sdv 15ml 11 5 $17,447.50 $17,447.50 $8,898.23 $13,172.50 $9,704.97 2026-05-23
J0717 HCPCS Cimzia Pfs 2x200mg/1ml Kit *400mg* 16 5 $17,158.00 $14,398.40 $3,775.40 $12,954.00 $8,750.58 2026-05-23
J3380 HCPCS Entyvio Intravenous Pwd For Soln 300mg 11 5 $15,599.85 $15,599.85 $7,955.92 $11,777.00 $8,592.17 2026-05-23
24538 CPT Percutaneous Skeletal Fix Humeral Fractu 1 1 $8,253.00 $6,602.40 20% off $8,253.00 $8,253.00 $8,253.00 2026-05-23
J9316 HCPCS Phesgo 600mg-600mg Sdv 10ml 6 5 $15,247.80 $15,247.80 $7,776.38 $11,511.50 $7,776.38 2026-05-23
J1162 HCPCS Digifab 40mg/vial Inj 11 5 $14,349.00 $14,349.00 $7,317.99 $10,833.00 $7,610.22 2026-05-23
J2353 HCPCS Zzsandostatin Lar 20mg 16 5 $13,849.00 $11,079.20 $2,800.21 $10,576.38 $7,062.99 2026-05-23
J9173 HCPCS IMFinzi 500mg/10ml Sdv 11 5 $12,426.00 $12,426.00 $6,337.26 $9,381.50 $6,592.26 2026-05-23
J9354 HCPCS Kadcyla IV Powder For Solution 100mg 11 5 $11,834.00 $11,834.00 $6,035.34 $8,934.50 $6,125.61 2026-05-23
Q5122 HCPCS Nyvepria 6mg Pfs 0.6ml 6 5 $11,775.00 $9,420.00 20% off $6,005.25 $8,890.00 $6,005.25 2026-05-23
J2182 HCPCS Nucala Pfs 100mg/ml 11 5 $11,067.00 $11,067.00 $5,644.17 $8,355.50 $5,871.12 2026-05-23
Q5117 HCPCS Kanjinti 420mg Mdv 11 5 $11,467.00 $11,467.00 $2,102.22 $8,657.50 $5,848.17 2026-05-23
J9271 HCPCS Keytruda Intravenous Solution 100mg/4ml 6 5 $10,828.23 $8,662.58 20% off $5,522.40 $8,175.00 $5,522.40 2026-05-23
Q5119 HCPCS Ruxience 500mg Sdv 50ml 11 5 $10,794.00 $8,635.20 $1,117.92 $8,149.00 $5,504.94 2026-05-23
J9358 HCPCS Enhertu 100mg Sdv 11 5 $8,467.00 $8,467.00 $4,318.17 $6,392.50 $4,743.51 2026-05-23
44207 CPT Laparoscopy; Surg; Colectomy; Partial; W 1 1 $4,696.00 $3,756.80 $4,696.00 $4,696.00 $4,696.00 2026-05-23
44210 CPT Laparoscopy;surgical;colectomy;total;abd 1 1 $4,589.00 $3,671.20 20% off $4,589.00 $4,589.00 $4,589.00 2026-05-23
J9205 HCPCS ONIVyde (irinotecan Liposomal) 43mg 10ml 11 5 $8,547.00 $8,547.00 $4,358.97 $6,452.50 $4,579.29 2026-05-23
J9033 HCPCS Bendeka (bendamustine) 100mg Vl 20ml 6 5 $8,957.00 $8,957.00 $4,568.07 $6,762.50 $4,568.07 2026-05-23
J0402 HCPCS Abilify Maintena 400mg Syringe 6 5 $8,713.00 $6,970.40 20% off $4,443.63 $6,578.00 $4,443.63 2026-05-23
J0401 HCPCS Abilify Maintena 400mg Syringe 6 5 $8,460.00 $8,460.00 $4,314.60 $6,387.00 $4,314.60 2026-05-23
J2802 HCPCS NPLate 250mcg Sdv 0.5ml 6 5 $8,259.00 $6,607.20 20% off $4,212.09 $6,235.50 $4,212.09 2026-05-23
27513 CPT Open Treatment Femoral Supracondylar Fra 1 1 $4,184.00 $3,347.20 20% off $4,184.00 $4,184.00 $4,184.00 2026-05-23
J9218 HCPCS Eligard (leuprolide Acetate) 45mg Inj 6 5 $8,130.00 $8,130.00 $4,146.30 $6,138.00 $4,146.30 2026-05-23
J9217 HCPCS Eligard (leuprolide Acetate) 45mg Inj 26 5 $8,130.00 $6,504.00 20% off $2,073.15 $8,468.55 $4,146.30 2026-05-23
Q5129 HCPCS Vegzelma 400mg Sdv 16ml 6 5 $8,129.00 $6,503.20 20% off $4,145.79 $6,137.00 $4,145.79 2026-05-23
J2796 HCPCS Nplate (romiPLOStim) 250mcg/0.5ml Vial 16 5 $7,866.00 $6,607.20 $3,209.05 $5,938.50 $4,011.66 2026-05-23
J0517 HCPCS Fasenra 30mg Pfs 6 5 $7,761.96 $6,209.56 20% off $3,958.60 $5,859.50 $3,958.60 2026-05-23
J9317 HCPCS Trodelvy IV Pwdforsoln 180mg 11 5 $7,434.00 $7,434.00 $3,791.34 $5,612.50 $3,943.83 2026-05-23
28118 CPT Ostectomy Calcaneus 1 1 $3,885.00 $3,108.00 20% off $3,885.00 $3,885.00 $3,885.00 2026-05-23
J7168 HCPCS Kcentra (prothrombin Complex) 502iu Sdv 21 5 $5,084.00 $5,084.00 $2,364.36 $5,034.72 $3,838.00 2026-05-23
Q5118 HCPCS Zirabev 400mg Sdv 16ml 11 5 $7,403.00 $5,922.40 20% off $959.82 $5,589.00 $3,775.53 2026-05-23
62287 CPT Lumbar Diskectomy 1 1 $3,761.00 $3,008.80 $3,761.00 $3,761.00 $3,761.00 2026-05-23
22556 CPT Lumbar Decompression 1 1 $3,660.00 $2,928.00 20% off $3,660.00 $3,660.00 $3,660.00 2026-05-23
27245 CPT IM Hip Screw 1 1 $3,610.00 $2,888.00 20% off $3,610.00 $3,610.00 $3,610.00 2026-05-23
Q2049 HCPCS Zzlipodox Inst 50mg 2mg/ml Vial 11 5 $6,991.00 $5,592.80 20% off $3,524.61 $5,278.00 $3,565.41 2026-05-23
J0897 HCPCS Prolia (denosumab) 60mg Pfs 1ml 18 5 $5,626.00 $5,358.00 $2,240.30 $5,277.99 $3,457.13 2026-05-23
27447 CPT Arthroplasty Left Total Knee 6 5 $6,715.00 $5,372.00 20% off $2,887.45 $5,069.50 $3,424.65 2026-05-23
22558 CPT Lumbar Decompression 1 1 $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 1 1 $3,362.00 $2,689.60 20% off $3,362.00 $3,362.00 $3,362.00 2026-05-23
27125 CPT Hemiarthroplasty Hip 1 1 $3,323.00 $2,658.40 20% off $3,323.00 $3,323.00 $3,323.00 2026-05-23
J3358 HCPCS Stelara IV 130mg/26ml Sdv 11 5 $6,074.00 $6,074.00 $3,097.74 $4,585.50 $3,243.09 2026-05-23
Q5108 HCPCS FULPhila 6mg Pfs 0.6ml 6 5 $6,263.00 $6,263.00 $3,194.13 $4,728.50 $3,194.13 2026-05-23
78814 CPT Pet/ct Limted 6 5 $6,220.00 $4,976.00 20% off $3,172.20 $4,696.00 $3,172.20 2026-05-23
78816 CPT Pet/ct Full Body 6 5 $6,220.00 $4,976.00 20% off $3,172.20 $4,696.00 $3,172.20 2026-05-23
J3111 HCPCS Evenity 210mg/2.34ml 10 5 $7,511.00 $7,511.00 $2,102.92 $5,670.50 $3,121.98 2026-05-23
J9330 HCPCS Torisel (temsirolimus) 25mg Kit 6 5 $6,001.00 $4,800.80 20% off $3,060.51 $4,530.50 $3,060.51 2026-05-23
78815 CPT Pet/ct Skull-thigh 6 5 $5,968.00 $4,774.40 20% off $3,043.68 $4,505.50 $3,043.68 2026-05-23
J3032 HCPCS Vyepti (eptinezumab-jjmr) 100mg/ml 1ml 6 5 $5,820.00 $4,656.00 20% off $2,968.20 $4,394.00 $2,968.20 2026-05-23
15734 CPT Hernia Repair And Complex Abdominal Wall 6 5 $5,636.00 $4,508.80 $2,874.36 $4,255.00 $2,874.36 2026-05-23
J9999 HCPCS Zzdecitabine(dacogen)50mg Vial-don't Use 11 5 $3,789.90 $3,031.92 20% off $1,932.85 $4,896.00 $2,860.50 2026-05-23
20692 CPT Application Of Multiplane Pin 6 5 $5,602.00 $4,481.60 $2,857.02 $4,229.50 $2,857.02 2026-05-23
58150 CPT Total Hysterectomy (corpus And Cervix);w 1 1 $2,798.00 $2,238.40 $2,798.00 $2,798.00 $2,798.00 2026-05-23
J9303 HCPCS Vectibix Intravenous Sol 20mg/1ml 100mg 26 5 $5,477.00 $5,218.00 $189.77 $11,108.82 $2,793.27 2026-05-23
49566 CPT Zz Hernia Repair Do Not Use 1 1 $2,754.00 $2,203.20 20% off $2,754.00 $2,754.00 $2,754.00 2026-05-23
22551 CPT Anterior Cervical Discectomy And Fusion 1 1 $2,751.00 $2,200.80 $2,751.00 $2,751.00 $2,751.00 2026-05-23
22554 CPT Lumbar Decompression 1 1 $2,751.00 $2,200.80 $2,751.00 $2,751.00 $2,751.00 2026-05-23
J9047 HCPCS Kyprolis 10mg Sdv 31 5 $5,348.00 $4,955.00 $856.80 $7,450.00 $2,727.48 2026-05-23
J0875 HCPCS Dalvance IV Powder For Solution 500mg 6 5 $5,337.00 $5,337.00 $2,721.87 $4,029.00 $2,721.87 2026-05-23
19307LT OTHER Mastectomy 1 1 $3,308.00 $2,646.40 20% off $2,711.50 $2,711.50 $2,711.50 2026-05-23
J0135 HCPCS Zz Humira Pen (adalimumab) Do Not Use 6 5 $5,191.95 $4,153.56 $2,647.89 $3,919.00 $2,647.89 2026-05-23
27130 CPT Arthoplasty Aceteabular And Proximal Fem 6 5 $5,183.00 $4,146.40 20% off $2,228.69 $3,913.00 $2,643.33 2026-05-23
Q2050 HCPCS DOXOrubicin Liposome(doxil): 50mg/ 25ml 11 5 $5,094.00 $5,094.00 $2,597.94 $3,845.50 $2,615.79 2026-05-23
73723LT OTHER MRI Lt Joint Low Ext Wo&w Contrast 1 1 $3,116.00 $2,492.80 $2,615.50 $2,615.50 $2,615.50 2026-05-23
73720LT OTHER MRI Lt Low Ext Wo&w Contrast 1 1 $3,116.00 $2,492.80 $2,615.50 $2,615.50 $2,615.50 2026-05-23
73223LT OTHER MRI Lt Joint Up Ext Wo&w Contrast 1 1 $3,082.00 $2,465.60 20% off $2,598.50 $2,598.50 $2,598.50 2026-05-23
73723RT OTHER MRI Rt Joint Low Ext Wo&w Contrast 1 1 $3,080.00 $2,464.00 20% off $2,597.50 $2,597.50 $2,597.50 2026-05-23
73220RT OTHER MRI Rt Up Ext W/o&w Contrast 1 1 $3,079.00 $2,463.20 20% off $2,597.00 $2,597.00 $2,597.00 2026-05-23
73220LT OTHER MRI Lt Up Ext W/o&w Contrast 1 1 $3,077.00 $2,461.60 20% off $2,596.00 $2,596.00 $2,596.00 2026-05-23
63005 CPT Decompressive Laminectomy 1 1 $2,595.00 $2,076.00 20% off $2,595.00 $2,595.00 $2,595.00 2026-05-23
49520 CPT Recurrent Inguinal Hernia + 90 6 5 $5,072.00 $4,057.60 20% off $2,586.72 $3,829.00 $2,586.72 2026-05-23
73720RT OTHER MRI Rt Low Ext Wo&w Contrast 1 1 $3,043.00 $2,434.40 20% off $2,579.00 $2,579.00 $2,579.00 2026-05-23
73223RT OTHER MRI Rt Joint Up Ext Wo&w Contrast 1 1 $3,005.00 $2,404.00 20% off $2,560.00 $2,560.00 $2,560.00 2026-05-23
J9259 HCPCS Abraxane IV Pwd For Susp 100mg 6 5 $4,959.00 $4,959.00 $2,529.09 $3,744.00 $2,529.09 2026-05-23
J3110 HCPCS Zzforteo Pen 20 Mcg/2.4ml (teriparatide) 6 5 $4,910.55 $3,928.44 20% off $2,504.38 $3,707.00 $2,504.38 2026-05-23
28585 CPT Open Talotarsal Joint Dislocation 1 1 $2,502.00 $2,001.60 20% off $2,502.00 $2,502.00 $2,502.00 2026-05-23
J1448 HCPCS COSela 300mg Sdv 11 5 $4,686.00 $4,686.00 $2,389.86 $3,537.50 $2,489.31 2026-05-23
44143 CPT Colectomy, Partial With End Colostomy 6 5 $4,871.00 $3,896.80 $2,484.21 $3,677.50 $2,484.21 2026-05-23
6449350 OTHER Inj Para Vert F Jnt L/s 1 Level Bilatera 1 1 $2,828.00 $2,262.40 $2,471.50 $2,471.50 $2,471.50 2026-05-23
27244 CPT Orif Hip Fracture(intertrochanteric Hip 1 1 $2,466.00 $1,972.80 20% off $2,466.00 $2,466.00 $2,466.00 2026-05-23
0376T CPT Zz Do Not Use 6 5 $4,808.00 $3,846.40 20% off $2,452.08 $3,630.00 $2,452.08 2026-05-23
26567 CPT Ostomy Phalanx Of Finger Each 1 1 $2,448.00 $1,958.40 $2,448.00 $2,448.00 $2,448.00 2026-05-23
J9355 HCPCS Herceptin 150mg Sdv 20ml 11 5 $4,717.00 $4,717.00 $149.94 $3,561.00 $2,405.67 2026-05-23
27792 CPT Fracture And/or Dislocation Proc Leg Ank 1 1 $2,399.00 $1,919.20 20% off $2,399.00 $2,399.00 $2,399.00 2026-05-23
27236 CPT Orif Hip Fracture(intertrochanteric Hip 1 1 $2,396.00 $1,916.80 20% off $2,396.00 $2,396.00 $2,396.00 2026-05-23
73722LT OTHER MRI Lt Joint Low Ext W/contrast 1 1 $2,598.00 $2,078.40 $2,356.50 $2,356.50 $2,356.50 2026-05-23
27486 CPT Rev Total Knee Arthrp 1 Component 6 5 $4,603.00 $3,682.40 20% off $2,347.53 $3,475.00 $2,347.53 2026-05-23
73718RT OTHER MRI Rt Low Ext Without Contrast 1 1 $2,575.00 $2,060.00 20% off $2,345.00 $2,345.00 $2,345.00 2026-05-23
73721RT OTHER MRI Rt Joint Low Ext Without Contrast 1 1 $2,548.00 $2,038.40 $2,331.50 $2,331.50 $2,331.50 2026-05-23
49255 CPT Omentectomy 1 1 $2,316.00 $1,852.80 20% off $2,316.00 $2,316.00 $2,316.00 2026-05-23
J7327 HCPCS Monovisc 22mg/ml Syringe 6 5 $4,500.00 $4,500.00 $2,295.00 $3,397.50 $2,295.00 2026-05-23
J1439 HCPCS Injectafer (carboxymaltose) 750mg 15ml 6 5 $4,468.00 $4,468.00 $2,278.68 $3,373.00 $2,278.68 2026-05-23
44204 CPT Laparoscopy, Surgical, Colectomy Partial 6 5 $4,463.00 $3,570.40 20% off $2,276.13 $3,369.50 $2,276.13 2026-05-23
22513 CPT Kypohplasty Thoracic 1 1 $2,274.00 $1,819.20 20% off $2,274.00 $2,274.00 $2,274.00 2026-05-23
73722RT OTHER MRI Rt Joint Low Ext W/contrast 1 1 $2,427.00 $1,941.60 20% off $2,271.00 $2,271.00 $2,271.00 2026-05-23
4965050 OTHER Open Treatment Femoral Supracondylar Fra 1 1 $2,426.00 $1,940.80 20% off $2,270.50 $2,270.50 $2,270.50 2026-05-23
73702RT OTHER CT Rt Low Ext Wo And W Contrast 1 1 $2,424.00 $1,939.20 20% off $2,269.50 $2,269.50 $2,269.50 2026-05-23
73702LT OTHER CT Lt Low Ext Wo And W Contrast 1 1 $2,424.00 $1,939.20 20% off $2,269.50 $2,269.50 $2,269.50 2026-05-23
27848 CPT Open Tx Ankle Disloc; W-without Percutaneous 1 1 $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 1 1 $2,419.00 $1,935.20 20% off $2,267.00 $2,267.00 $2,267.00 2026-05-23
27814 CPT Bimalleolar Ankle Fracture (open) 1 1 $2,262.00 $1,809.60 20% off $2,262.00 $2,262.00 $2,262.00 2026-05-23
22515 CPT Kypohplasty Additional Level 1 1 $2,259.00 $1,807.20 20% off $2,259.00 $2,259.00 $2,259.00 2026-05-23
J2357 HCPCS Xolair (omalizumab) 150mg Vial 11 5 $4,155.00 $4,155.00 $2,119.05 $3,137.00 $2,253.18 2026-05-23
73719RT OTHER MRI Rt Low Ext W/contrast 1 1 $2,372.00 $1,897.60 20% off $2,243.50 $2,243.50 $2,243.50 2026-05-23
73719LT OTHER MRI Lt Low Ext W/contrast 1 1 $2,372.00 $1,897.60 20% off $2,243.50 $2,243.50 $2,243.50 2026-05-23
73721LT OTHER MRI Lt Joint Low Ext Without Contrast 1 1 $2,371.00 $1,896.80 20% off $2,243.00 $2,243.00 $2,243.00 2026-05-23
73221LT OTHER MRI Lt Joint Up Ext Without Contrast 1 1 $2,329.00 $1,863.20 20% off $2,222.00 $2,222.00 $2,222.00 2026-05-23
73219LT OTHER MRI Lt Up Ext W/contrast 1 1 $2,318.00 $1,854.40 $2,216.50 $2,216.50 $2,216.50 2026-05-23
73219RT OTHER MRI Rt Up Ext W/contrast 1 1 $2,318.00 $1,854.40 $2,216.50 $2,216.50 $2,216.50 2026-05-23
73222RT OTHER MRI Rt Joint Up Ext W/contrast 1 1 $2,316.00 $1,852.80 20% off $2,215.50 $2,215.50 $2,215.50 2026-05-23
73222LT OTHER MRI Lt Joint Up Ext W/contrast 1 1 $2,316.00 $1,852.80 20% off $2,215.50 $2,215.50 $2,215.50 2026-05-23
6943650 OTHER Bilateral Tympanostomy 1 1 $2,316.00 $1,852.80 20% off $2,215.50 $2,215.50 $2,215.50 2026-05-23
73221RT OTHER MRI Rt Joint Up Ext Without Contrast 1 1 $2,313.00 $1,850.40 $2,214.00 $2,214.00 $2,214.00 2026-05-23
J9170 HCPCS ZZDOCEtaxel (taxotere) Do Not Use 6 5 $4,323.00 $3,458.40 20% off $2,204.73 $3,263.50 $2,204.73 2026-05-23
J9179 HCPCS Halaven Intravenous Solution 1mg/2ml 6 5 $4,272.00 $4,272.00 $2,178.72 $3,225.00 $2,178.72 2026-05-23
23040 CPT Incicion Procedure On The Shoulder And J 1 1 $2,162.00 $1,729.60 20% off $2,162.00 $2,162.00 $2,162.00 2026-05-23
23412 CPT Repair Of Ruptured Musculotendinous Cuff 1 1 $2,140.00 $1,712.00 20% off $2,140.00 $2,140.00 $2,140.00 2026-05-23
44140 CPT Colectomy Partial W/anastomosis 6 5 $4,190.00 $3,352.00 20% off $2,136.90 $3,163.00 $2,136.90 2026-05-23
27610 CPT I & D Of Abcess; Ankle 1 1 $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 1 1 $2,123.00 $1,698.40 $2,123.00 $2,123.00 $2,123.00 2026-05-23
90375 CPT Hyperrab Inj Soln 300iu/1ml 18 5 $2,389.80 $2,389.80 $1,041.42 $3,123.50 $2,087.52 2026-05-23
15830 CPT Panniculectomy 6 5 $4,064.00 $3,251.20 20% off $2,072.64 $3,068.00 $2,072.64 2026-05-23
C1768 HCPCS Vascular Graft Propaten 4-7x45cm 6 5 $4,058.00 $3,246.40 20% off $2,069.58 $3,063.50 $2,069.58 2026-05-23
27446 CPT Arthroplasty, Knee, Condyle And Plateau, 6 5 $4,038.00 $3,230.40 20% off $2,059.38 $3,048.50 $2,059.38 2026-05-23
Q0249 HCPCS Actemra (tocilizumab) 80mg/4ml Sdv 16 5 $4,026.00 $4,026.00 $833.85 $4,084.59 $2,053.26 2026-05-23
J9299 HCPCS ZZOPDivo (nivoLUmab) 1mg 21 5 $4,014.00 $3,211.20 20% off $32.13 $12,174.21 $2,047.14 2026-05-23
J9268 HCPCS Nipent (pentostatin) 10mg Vial 6 5 $3,991.20 $3,991.20 $2,035.51 $3,013.00 $2,035.51 2026-05-23
73218LT OTHER MRI Lt Up Ext Without Contrast 1 1 $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 1 1 $2,025.00 $1,620.00 20% off $2,025.00 $2,025.00 $2,025.00 2026-05-23
J9227 HCPCS Sarclisa 100mg/5ml Sdv 11 5 $2,652.00 $2,121.60 20% off $1,352.52 $6,676.41 $2,002.00 2026-05-23
44160 CPT Colectomy Partial With Removal Of Ileum 6 5 $3,915.00 $3,132.00 20% off $1,996.65 $2,955.50 $1,996.65 2026-05-23
73218RT OTHER MRI Rt Up Ext Without Contrast 1 1 $1,991.00 $1,592.80 20% off $1,991.00 $1,991.00 $1,991.00 2026-05-23
95810 52 OTHER Partial Sleep Study 1 1 $1,983.00 $1,586.40 $1,983.00 $1,983.00 $1,983.00 2026-05-23
91311 CPT SPIKEvax (covid-19 Vaccine, Mrna 23-24 6 5 $3,885.00 $3,885.00 $1,981.35 $2,933.00 $1,981.35 2026-05-23
J0490 HCPCS Benlysta 400mg Sdv 6 5 $3,884.00 $3,107.20 20% off $1,980.84 $2,932.00 $1,980.84 2026-05-23
70553 CPT MRI Brain W/o&w Contrast 6 5 $4,097.00 $3,277.60 20% off $1,761.71 $3,093.00 $1,972.51 2026-05-23
73202LT OTHER CT Lt Up Ext Wo And W Contrast 1 1 $1,957.00 $1,565.60 20% off $1,957.00 $1,957.00 $1,957.00 2026-05-23
72158 CPT MRI Lumbar Spine Wo&w Contrast 6 5 $3,791.00 $3,032.80 $1,630.13 $2,862.00 $1,933.41 2026-05-23
73202RT OTHER CT Rt Up Ext Wo And W Contrast 1 1 $1,921.00 $1,536.80 20% off $1,921.00 $1,921.00 $1,921.00 2026-05-23
28120 CPT Partial Excision Of Bone Talus Or Calcan 1 1 $1,890.00 $1,512.00 20% off $1,890.00 $1,890.00 $1,890.00 2026-05-23
J9035 HCPCS Avastin (bevacizumab) 100mg/4ml Vial 11 5 $2,433.00 $2,433.00 $1,240.83 $4,898.55 $1,836.50 2026-05-23
42415 CPT Excision Of Parotoid Tumor Or Gland Late 6 5 $3,551.00 $2,840.80 $1,811.01 $2,681.00 $1,811.01 2026-05-23
J0129 HCPCS Orencia (abatacept/maltose) 250mg Vial 6 5 $3,526.70 $2,821.36 $1,798.62 $2,662.00 $1,798.62 2026-05-23
27222 CPT Acetabulum With Manipulation 6 5 $3,525.00 $2,820.00 20% off $1,797.75 $2,661.00 $1,797.75 2026-05-23
19305 CPT Mastectomy, Radical Including Pectoral 6 5 $3,495.00 $2,796.00 20% off $1,782.45 $2,638.50 $1,782.45 2026-05-23
24341 CPT Repair Tendon Or Muscle Upper Arm;elbow 6 5 $3,474.00 $2,779.20 20% off $1,771.74 $2,622.50 $1,771.74 2026-05-23
47563 CPT Lap Choly W/ioc 14 5 $3,474.00 $2,779.20 20% off $1,095.64 $2,244.00 $1,771.74 2026-05-23
22514 CPT Kypohplasty Lumbar 6 5 $3,474.00 $2,779.20 20% off $1,771.74 $2,622.50 $1,771.74 2026-05-23
47562 CPT Lap Chole 16 5 $3,474.00 $2,779.20 20% off $1,299.48 $2,244.00 $1,771.74 2026-05-23
44950 CPT Appendectomy, Open 16 5 $3,474.00 $2,779.20 20% off $1,299.48 $3,002.37 $1,771.74 2026-05-23
44970 CPT Appendectomy, Laproscopic 16 5 $3,474.00 $2,779.20 20% off $1,299.48 $2,244.00 $1,771.74 2026-05-23
72156 CPT MRI Cervical Spine Wo&w Contrast 6 5 $3,430.00 $2,744.00 20% off $1,749.30 $2,589.50 $1,749.30 2026-05-23
72157 CPT MRI Thoracic Spine Wo&w Contrast 6 5 $3,416.00 $2,732.80 $1,742.16 $2,579.00 $1,742.16 2026-05-23
J9350 HCPCS Zzhycamtin(topetecan) 4.0mg (do Not Use 6 5 $3,386.90 $2,709.52 20% off $1,727.32 $2,556.50 $1,727.32 2026-05-23
71555 CPT MRA Chest With Or Without Contrast 6 5 $3,379.00 $2,703.20 20% off $1,723.29 $2,551.00 $1,723.29 2026-05-23
J3240 HCPCS Thyrogen (thyrotropin Alpha) 1.1mg Inj 6 5 $3,342.50 $3,342.50 $1,704.68 $2,523.00 $1,704.68 2026-05-23
49585 CPT Zz Do Not Use 11 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,687.08 2026-05-23
29805 CPT Arthroscopy Shoulder Diagnostic 6 5 $3,308.00 $2,646.40 20% off $1,687.08 $2,497.50 $1,687.08 2026-05-23
73225 CPT MRA Up Ext Wo&w Contrast 6 5 $3,244.00 $2,595.20 20% off $1,654.44 $2,449.00 $1,654.44 2026-05-23
81162 CPT Brca1/brca2 Use Kit Test-dont Order This 6 5 $3,242.00 $2,593.60 20% off $1,653.42 $2,447.50 $1,653.42 2026-05-23
77084 CPT MRI Bone Marrow Blood Supply 6 5 $3,189.00 $2,551.20 20% off $1,626.39 $2,407.50 $1,626.39 2026-05-23
47564 CPT Laparoscopic Cholecystectomy Procedure 6 5 $3,181.00 $2,544.80 $1,622.31 $2,401.50 $1,622.31 2026-05-23
Q5107 HCPCS Mvasi 100mg Sdv 4ml 25mg/ml 11 5 $2,135.00 $2,135.00 $1,088.85 $4,291.65 $1,611.50 2026-05-23
J7298 HCPCS IUD Mirena 6 5 $3,123.00 $2,498.40 20% off $1,592.73 $2,357.50 $1,592.73 2026-05-23
74183 CPT MRI Abd Wo&w Contrast 6 5 $3,123.00 $2,498.40 20% off $1,342.89 $2,357.50 $1,592.73 2026-05-23
6449050 OTHER Inj Para Vert F Jnt C/t 1 Level Bilatera 1 1 $1,591.00 $1,272.80 20% off $1,591.00 $1,591.00 $1,591.00 2026-05-23
44180 CPT Laproscopy, Surgical Enterolysis 6 5 $3,114.00 $2,491.20 20% off $1,588.14 $2,351.00 $1,588.14 2026-05-23
28322 CPT Metatarasal Or Tarsal Nonunion/malunion 1 1 $1,586.00 $1,268.80 20% off $1,586.00 $1,586.00 $1,586.00 2026-05-23
71552 CPT MRI Chest W/o&w Contrast 6 5 $3,092.00 $2,473.60 20% off $1,576.92 $2,334.00 $1,576.92 2026-05-23
58291 CPT Vaginal Hysterectomy Over 250 Grams 6 5 $3,087.00 $2,469.60 20% off $1,574.37 $2,330.50 $1,574.37 2026-05-23
43245 CPT Upper Gastrointestinal Endoscopy;w/dilat 1 1 $1,574.00 $1,259.20 20% off $1,574.00 $1,574.00 $1,574.00 2026-05-23
72197 CPT MRI Pelvis Wo&w Contrast 6 5 $3,085.00 $2,468.00 20% off $1,573.35 $2,329.00 $1,573.35 2026-05-23
72159 CPT MRA Spine Wo&w Contrast 6 5 $3,066.00 $2,452.80 $1,563.66 $2,314.50 $1,563.66 2026-05-23
95810 CPT Full Sleep Study 6 5 $3,051.00 $2,440.80 $1,556.01 $2,303.50 $1,556.01 2026-05-23
74185 CPT MRA Abd With Or Without Contrast 6 5 $3,033.00 $2,426.40 20% off $1,546.83 $2,289.50 $1,546.83 2026-05-23
73725 CPT MRA Low Ext With Or Without Contrast 6 5 $3,033.00 $2,426.40 20% off $1,546.83 $2,289.50 $1,546.83 2026-05-23
70546 CPT MRA Brain W/o&w Contrast 6 5 $3,022.00 $2,417.60 20% off $1,541.22 $2,281.50 $1,541.22 2026-05-23
66982 CPT Complex Cataract Rmvl W/lens 6 5 $2,996.00 $2,396.80 $1,527.96 $2,261.50 $1,527.96 2026-05-23
70496 CPT CT Angiography Head 7 5 $2,486.00 $1,988.80 20% off $1,178.96 $1,876.50 $1,523.85 2026-05-23
74175 CPT CT Angio Abd Arteries 10 5 $2,889.00 $2,311.20 20% off $1,450.24 $2,181.00 $1,523.12 2026-05-23
74170 CPT CT Abd Wo And W Contrast 6 5 $2,960.00 $2,368.00 20% off $1,409.64 $2,234.50 $1,509.60 2026-05-23
70543 CPT MRA Head W/wo 11 5 $2,660.00 $2,128.00 20% off $1,356.60 $2,008.00 $1,508.07 2026-05-23
J7307 HCPCS Nexplanon Implant Non 340b 11 5 $2,924.00 $2,339.20 20% off $759.90 $2,207.50 $1,491.24 2026-05-23
15115 CPT Epidermal Autograft Face Scalp Eyelid Mo 6 5 $2,924.00 $2,339.20 20% off $1,491.24 $2,207.50 $1,491.24 2026-05-23
73701RT OTHER CT Rt Low Ext W/contrast 1 1 $1,490.00 $1,192.00 20% off $1,490.00 $1,490.00 $1,490.00 2026-05-23
73701LT OTHER CT Lt Low Ext W/contrast 1 1 $1,490.00 $1,192.00 20% off $1,490.00 $1,490.00 $1,490.00 2026-05-23
70549 CPT MRA Neck W/o&w Contrast 6 5 $2,905.00 $2,324.00 20% off $273.52 $2,193.00 $1,481.55 2026-05-23
J0881EA OTHER Zzaranesp 100mcg (chemo Induced Anemia) 1 1 $1,476.70 $1,181.36 20% off $1,476.00 $1,476.00 $1,476.00 2026-05-23
J0585 HCPCS Botox Ds 100 Un Vl 11 5 $1,953.00 $1,562.40 $996.03 $1,992.06 $1,474.50 2026-05-23
72198 CPT MRA Pelvis Wo&w Contrast 6 5 $2,871.00 $2,296.80 $1,464.21 $2,167.50 $1,464.21 2026-05-23
73700RT OTHER CT Rt Low Ext Without Contrast 1 1 $1,462.00 $1,169.60 20% off $1,462.00 $1,462.00 $1,462.00 2026-05-23
J9312 HCPCS riTUXimab(RITUXAN):100MG 6 5 $2,861.00 $2,861.00 $1,459.11 $2,160.00 $1,459.11 2026-05-23
1999 OTHER Anesthesia-unlisted 7 5 $2,856.00 $2,284.80 $1,456.56 $2,485.50 $1,456.56 2026-05-23
Q4088 HCPCS Zz Gammagard Do Not Use 6 5 $2,844.10 $2,275.28 $1,450.49 $2,147.00 $1,450.49 2026-05-23
11012 CPT Debridement Skin Subcutaneous 1 1 $1,450.00 $1,160.00 20% off $1,450.00 $1,450.00 $1,450.00 2026-05-23
27502 CPT Femoral Shaft With Manipulation 6 5 $2,831.00 $2,264.80 $1,443.81 $2,137.00 $1,443.81 2026-05-23
C8908 HCPCS MRI Breast W Wo Contrast Bilateral 6 5 $2,826.00 $2,260.80 $1,441.26 $2,133.50 $1,441.26 2026-05-23
28285 CPT Correction Hammer Toe 1 1 $1,433.00 $1,146.40 $1,433.00 $1,433.00 $1,433.00 2026-05-23
2709650 OTHER Sacral Iliac Injection 1 1 $1,432.00 $1,145.60 20% off $1,432.00 $1,432.00 $1,432.00 2026-05-23
G026050 OTHER Sacral Iliac Injection 1 1 $1,432.00 $1,145.60 20% off $1,432.00 $1,432.00 $1,432.00 2026-05-23
71275 CPT CT Angiography Chest 6 5 $3,061.00 $2,448.80 $1,391.08 $2,311.00 $1,430.95 2026-05-23
Q2048 HCPCS Zz Nst 20mg 2mg/ml Do Not Use 6 5 $2,797.30 $2,237.84 20% off $1,426.62 $2,111.50 $1,426.62 2026-05-23
70498 CPT CT Angiography Neck 6 5 $2,880.00 $2,304.00 20% off $664.78 $2,174.00 $1,425.60 2026-05-23
78585 CPT Zz Do Not Use 6 5 $2,791.00 $2,232.80 $1,423.41 $2,107.00 $1,423.41 2026-05-23
73200RT OTHER CT Rt Up Ext Without Contrast 1 1 $1,411.00 $1,128.80 20% off $1,411.00 $1,411.00 $1,411.00 2026-05-23
49653 CPT *do Not Use 6 5 $2,757.00 $2,205.60 20% off $1,406.07 $2,081.50 $1,406.07 2026-05-23
58262 CPT Vaginal Hysterectomy W/removal Of Tubes 6 5 $2,756.00 $2,204.80 $1,405.56 $2,080.50 $1,405.56 2026-05-23
25115 CPT Excision Procedures On The Forearm And W 6 5 $2,753.00 $2,202.40 $1,404.03 $2,078.50 $1,404.03 2026-05-23
72147 CPT MRI Thoracic Spine W/contrast 6 5 $2,751.00 $2,200.80 $1,403.01 $2,077.00 $1,403.01 2026-05-23
26123 CPT Fasct Prtl Palmar 1 Dgt Prox Iphal Jt 6 5 $2,743.00 $2,194.40 $1,398.93 $2,070.50 $1,398.93 2026-05-23
J7301 HCPCS IUD Skyla 6 5 $2,731.00 $2,184.80 $1,392.81 $2,061.50 $1,392.81 2026-05-23
72194 CPT CT Pelvis Wo And W Contrast 6 5 $2,727.00 $2,181.60 20% off $1,390.77 $2,058.50 $1,390.77 2026-05-23
74181 CPT MRI Abd Without Contrast 6 5 $2,724.00 $2,179.20 20% off $1,389.24 $2,056.50 $1,389.24 2026-05-23
70552 CPT MRI Brain W/contrast 6 5 $2,720.00 $2,176.00 20% off $1,387.20 $2,053.50 $1,387.20 2026-05-23
28312 CPT Osteotomy Shortening Phalanges 1 1 $1,379.00 $1,103.20 $1,379.00 $1,379.00 $1,379.00 2026-05-23
15240 CPT Full Thickness Graft, Free, Including Cl 6 5 $2,691.00 $2,152.80 $1,372.41 $2,031.50 $1,372.41 2026-05-23
26952 CPT Amputation, Finger, Thumb Primary 1 1 $1,369.00 $1,095.20 $1,369.00 $1,369.00 $1,369.00 2026-05-23
73700LT OTHER CT Lt Low Ext Without Contrast 1 1 $1,364.00 $1,091.20 $1,364.00 $1,364.00 $1,364.00 2026-05-23
20670 CPT Removal Of Implant Superficial 1 1 $1,355.00 $1,084.00 20% off $1,355.00 $1,355.00 $1,355.00 2026-05-23
Q4166 HCPCS Amnioexcel5x5 31 5 $2,633.00 $2,106.40 $215.73 $2,405.00 $1,342.83 2026-05-23
27268 CPT Proximal Femerol With Manipulation 6 5 $2,629.00 $2,103.20 20% off $1,340.79 $1,984.50 $1,340.79 2026-05-23
86711 CPT Stratify Jcv Ab Inhibition Assay 6 5 $2,618.00 $2,094.40 $1,335.18 $1,976.50 $1,335.18 2026-05-23
27510 CPT Distal Femoral With Manipulation 6 5 $2,606.00 $2,084.80 $1,329.06 $1,967.50 $1,329.06 2026-05-23
78465 CPT Zz Do Not Use 6 5 $2,602.00 $2,081.60 20% off $1,327.02 $1,964.50 $1,327.02 2026-05-23
74182 CPT MRI Abd W/contrast 6 5 $2,600.00 $2,080.00 20% off $1,326.00 $1,963.00 $1,326.00 2026-05-23
30117 CPT Excision Or Destruction Intranasal Lesio 6 5 $2,597.00 $2,077.60 20% off $1,324.47 $1,960.50 $1,324.47 2026-05-23
73200LT OTHER CT Lt Up Ext Without Contrast 1 1 $1,323.00 $1,058.40 $1,323.00 $1,323.00 $1,323.00 2026-05-23
70470 CPT CT Head/brain Wo And W Contrast 6 5 $2,556.00 $2,044.80 20% off $982.72 $1,929.50 $1,303.56 2026-05-23
J2325 HCPCS Zznatrecor 1.5mg Inj 6 5 $2,555.00 $2,044.00 20% off $1,303.05 $1,929.00 $1,303.05 2026-05-23
Q4100 HCPCS Skin Substitute Not Otherwise Specified 6 5 $2,552.00 $2,041.60 20% off $1,301.52 $1,926.50 $1,301.52 2026-05-23
J9055 HCPCS Erbitux (cetuximab) 100mg Vl 50ml 26 5 $2,551.00 $2,454.00 $110.70 $2,581.11 $1,301.01 2026-05-23
58615 CPT Occlusion Fallopian Tube Vaginal Or Supr 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
42826 CPT Tonsillectomy Age 12 Or Over 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
42820 CPT Tonsil And Adenoid Removal 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
29875 CPT Diagnostic Arthroscopy 11 5 $2,548.00 $2,038.40 $1,181.16 $1,923.50 $1,299.48 2026-05-23
29898 CPT Arthroscopy Of Ankle Depri Ext 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
20680 CPT Removal Of Implant; Deep, Eg, Buried Pin 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
58740 CPT Lysis Of Abdominal Adhesions 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
29870 CPT Limited Synovectomy 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
29882 CPT Arthroscopy With Meniscus Repair 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
58260 CPT Vaginal Hysterectomy; Under 250 Grams 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
29879 CPT Abrasion Arthroplasty 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
31625 CPT Bronch W/biopsy 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
42821 CPT Tonsillectomy 12 Years And Over 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
41899 CPT Unlisted Dentoalveolar Structure 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
42825 CPT Tonsillectomy Younger Than 12 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
58661 CPT Lap W/removal Salpingo/oophorectomy 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
64721 CPT Carpal Tunnel Open 6 5 $2,548.00 $2,038.40 $1,095.64 $1,923.50 $1,299.48 2026-05-23
58671 CPT Laproscopy Tubal Ligation With Clips 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
49329 CPT Lap Procedure Abdomen 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
49651 CPT Hernia Repair And Complex Abdominal Wall 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
55520 CPT Excision Of Lesion Of Spermatic Cord 6 5 $2,548.00 $2,038.40 $1,299.48 $1,923.50 $1,299.48 2026-05-23
95805 CPT Multiple Sleep Latency 6 5 $2,543.00 $2,034.40 $1,296.93 $1,919.50 $1,296.93 2026-05-23
72196 CPT MRI Pelvis W/contrast 6 5 $2,508.00 $2,006.40 $1,279.08 $1,893.50 $1,279.08 2026-05-23
27599 CPT Unlisted Procedure Femur Or Knee 6 5 $2,507.00 $2,005.60 20% off $1,278.57 $1,892.50 $1,278.57 2026-05-23
71551 CPT MRI Chest W/contrast 6 5 $2,507.00 $2,005.60 20% off $1,278.57 $1,892.50 $1,278.57 2026-05-23
95811 CPT Full Sleep Study W/cpap 6 5 $2,499.00 $1,999.20 20% off $1,274.49 $1,886.50 $1,274.49 2026-05-23
73201RT OTHER CT Rt Up Ext W/contrast 1 1 $1,274.00 $1,019.20 $1,274.00 $1,274.00 $1,274.00 2026-05-23
73201LT OTHER CT Lt Up Ext W/contrast 1 1 $1,273.00 $1,018.40 20% off $1,273.00 $1,273.00 $1,273.00 2026-05-23
70542 CPT MRI Orbit/face/neck W/contrast 6 5 $2,488.00 $1,990.40 $1,268.88 $1,878.00 $1,268.88 2026-05-23
36821 CPT Av Anastomosis Open Direct Any Site 6 5 $2,472.00 $1,977.60 20% off $1,260.72 $1,866.00 $1,260.72 2026-05-23
70551 CPT MRI Brain Without Contrast 9 5 $2,471.00 $1,976.80 20% off $1,062.53 $1,865.50 $1,260.21 2026-05-23
72142 CPT MRI Cervical Spine W/contrast 6 5 $2,470.00 $1,976.00 20% off $1,259.70 $1,864.50 $1,259.70 2026-05-23
72149 CPT MRI Lumbar Spine W/contrast 6 5 $2,470.00 $1,976.00 20% off $1,259.70 $1,864.50 $1,259.70 2026-05-23
46050 CPT I/d Perianal Abscess 1 1 $1,253.00 $1,002.40 20% off $1,253.00 $1,253.00 $1,253.00 2026-05-23
49000 CPT Exploratory Laparotomy 6 5 $2,456.00 $1,964.80 20% off $1,252.56 $1,854.00 $1,252.56 2026-05-23
77012 CPT CT Guide (bx,asp,inj,loc) Si 6 5 $2,451.00 $1,960.80 20% off $1,250.01 $1,850.50 $1,250.01 2026-05-23
58662 CPT Laparoscopic Procedure Of Oviduct/ovary 6 5 $2,450.00 $1,960.00 20% off $1,249.50 $1,849.50 $1,249.50 2026-05-23
36561 CPT Insertion Of Tunneled Central Venus Acce 6 5 $2,449.00 $1,959.20 20% off $1,248.99 $1,848.50 $1,248.99 2026-05-23
27252 CPT Closede Dislocated Hip With Anesthesia 11 5 $2,449.00 $1,959.20 20% off $911.37 $1,848.50 $1,248.99 2026-05-23
75820LT OTHER Veno Left Unilat Si 1 1 $1,247.00 $997.60 20% off $1,247.00 $1,247.00 $1,247.00 2026-05-23
78709 CPT Nm Kidney Imaging/multiple 6 5 $2,439.00 $1,951.20 20% off $1,243.89 $1,841.00 $1,243.89 2026-05-23
24685 CPT Open Treatment Of Ulnar Fracture 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
60220 CPT Total Thyroid Lobectomy, Partial 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
24000 CPT Arthrotomy Elbow Includ. Exploration 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
29881 CPT Arthroscopy W/menisectomy Medial Or Late 6 5 $2,426.00 $1,940.80 20% off $1,043.18 $1,831.50 $1,237.26 2026-05-23
11771 CPT Excision Pilonidal Cyst; Extensive 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
33207 CPT New/replacement Pacemaker Ventricular 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
59812 CPT D&c Treatment Incomplete Abortion 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
33233 CPT Removal Pacemaker Pulse Generator Only 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
42440 CPT Excision Of Submandibular Gland 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
58563 CPT Endometrial Ablation (thermo) 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
28820 CPT Amputation, Toe, Metatarlsophalangeal Jo 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
27766 CPT Open Treatment Of Medial Malleous Fractu 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
29877 CPT Knee Arthroscopy Debridement Shaving 6 5 $2,426.00 $1,940.80 20% off $1,237.26 $1,831.50 $1,237.26 2026-05-23
64718 CPT Ulnar Nerve Transposition (cts) 11 5 $2,426.00 $1,940.80 20% off $650.76 $1,831.50 $1,237.26 2026-05-23
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