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

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 · 2026-09-21
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
J9228
HCPCS 		YERvoy (IPILimuMAB) 200mg/40ml 5 $7,832.84 $48,256.00 $32,597.01 nat. median
$6,073
outlier · 5.4×
J3245
HCPCS 		ILUmya 100mg/ml Pfs 1ml 5 $16,488.61 $24,409.00 $16,488.61 nat. median
$217
outlier · 76.0×
J3357
HCPCS 		Stelara Subcutaneous Solution 45mg/0.5ml 5 $11,103.59 $26,761.04 $16,437.00 nat. median
$20,264
0.8× median
22533
CPT 		Lumbar Disectomy 1 $16,427.00 $16,427.00 $16,427.00 nat. median
$9,882
1.7× median
J9043
HCPCS 		Jevtana 60mg/1.5ml Kit 5 $13,181.32 $19,513.00 $13,181.32 nat. median
$509
outlier · 25.9×
J9223
HCPCS 		Zepzelca 4mg Sdv 5 $7,573.50 $18,219.50 $12,307.32 nat. median
$452
outlier · 27.3×
J3101
HCPCS 		Tnkase (tenecteplase) 50mg Inj 5 $7,616.88 $17,729.50 $11,976.33 nat. median
$498
outlier · 24.1×
J9311
HCPCS 		Rituxan Hycela 1600mg Sdv 5 $11,520.90 $17,055.00 $11,520.90 nat. median
$79
outlier · 146.0×
J9308
HCPCS 		Cyramza Intravenous Solution 500mg/50ml 5 $2,317.44 $17,028.00 $11,502.54 nat. median
$300
outlier · 38.4×
J0775
HCPCS 		Xiaflex Inj Powder For Solution 0.9mg 5 $10,074.03 $14,913.50 $11,299.56 nat. median
$114
outlier · 99.5×
J9306
HCPCS 		Perjeta (pertuzumab) 420mg Vial 5 $10,007.22 $14,814.50 $10,456.53 nat. median
$43
outlier · 245.1×
J9022
HCPCS 		TECENtriq 1200mg Sdv 20ml 5 $9,041.05 $13,384.00 $10,329.21 nat. median
$1,229
outlier · 8.4×
J9119
HCPCS 		Libtayo Intravenous Solution 350mg/7ml 5 $9,453.41 $13,994.50 $10,029.12 nat. median
$53
outlier · 188.3×
J2506
HCPCS 		Neulasta (pegfilgrastim) 6mg/0.6ml Inj 5 $9,819.54 $14,536.50 $9,819.54 nat. median
$916
outlier · 10.7×
J9144
HCPCS 		DARZalex FASpro 1800mg-30000 Sdv 15ml 5 $8,898.23 $13,172.50 $9,704.97 nat. median
$114
outlier · 84.8×
J0717
HCPCS 		Cimzia Pfs 2x200mg/1ml Kit *400mg* 5 $3,775.40 $12,954.00 $8,750.58 nat. median
$29
outlier · 301.5×
J3380
HCPCS 		Entyvio Intravenous Pwd For Soln 300mg 5 $7,955.92 $11,777.00 $8,592.17 nat. median
$59
outlier · 146.1×
24538
CPT 		Percutaneous Skeletal Fix Humeral Fractu 1 $8,253.00 $8,253.00 $8,253.00 nat. median
$5,416
1.5× median
J9316
HCPCS 		Phesgo 600mg-600mg Sdv 10ml 5 $7,776.38 $11,511.50 $7,776.38 nat. median
$221
outlier · 35.2×
J1162
HCPCS 		Digifab 40mg/vial Inj 5 $7,317.99 $10,833.00 $7,610.22 nat. median
$6,265
1.2× median
J2353
HCPCS 		Zzsandostatin Lar 20mg 5 $2,800.21 $10,576.38 $7,062.99 nat. median
$1,956
outlier · 3.6×
J9173
HCPCS 		IMFinzi 500mg/10ml Sdv 5 $6,337.26 $9,381.50 $6,592.26 nat. median
$588
outlier · 11.2×
J9354
HCPCS 		Kadcyla IV Powder For Solution 100mg 5 $6,035.34 $8,934.50 $6,125.61 nat. median
$4,004
1.5× median
Q5122
HCPCS 		Nyvepria 6mg Pfs 0.6ml 5 $6,005.25 $8,890.00 $6,005.25 nat. median
$487
outlier · 12.3×
J2182
HCPCS 		Nucala Pfs 100mg/ml 5 $5,644.17 $8,355.50 $5,871.12 nat. median
$80
outlier · 73.7×
Q5117
HCPCS 		Kanjinti 420mg Mdv 5 $2,102.22 $8,657.50 $5,848.17 nat. median
$187
outlier · 31.2×
J9271
HCPCS 		Keytruda Intravenous Solution 100mg/4ml 5 $5,522.40 $8,175.00 $5,522.40 nat. median
$127
outlier · 43.5×
Q5119
HCPCS 		Ruxience 500mg Sdv 50ml 5 $1,117.92 $8,149.00 $5,504.94 nat. median
$318
outlier · 17.3×
J9358
HCPCS 		Enhertu 100mg Sdv 5 $4,318.17 $6,392.50 $4,743.51 nat. median
$67
outlier · 70.7×
44207
CPT 		Laparoscopy; Surg; Colectomy; Partial; W 1 $4,696.00 $4,696.00 $4,696.00 nat. median
$4,397
1.1× median
44210
CPT 		Laparoscopy;surgical;colectomy;total;abd 1 $4,589.00 $4,589.00 $4,589.00 nat. median
$3,792
1.2× median
J9205
HCPCS 		ONIVyde (irinotecan Liposomal) 43mg 10ml 5 $4,358.97 $6,452.50 $4,579.29 nat. median
$129
outlier · 35.5×
J9033
HCPCS 		Bendeka (bendamustine) 100mg Vl 20ml 5 $4,568.07 $6,762.50 $4,568.07 nat. median
$707
outlier · 6.5×
J0402
HCPCS 		Abilify Maintena 400mg Syringe 5 $4,443.63 $6,578.00 $4,443.63 nat. median
$7
outlier · 625.0×
J0401
HCPCS 		Abilify Maintena 400mg Syringe 5 $4,314.60 $6,387.00 $4,314.60 nat. median
$22
outlier · 192.1×
J2802
HCPCS 		NPLate 250mcg Sdv 0.5ml 5 $4,212.09 $6,235.50 $4,212.09 nat. median
$43
outlier · 97.6×
27513
CPT 		Open Treatment Femoral Supracondylar Fra 1 $4,184.00 $4,184.00 $4,184.00 nat. median
$5,715
0.7× median
J9218
HCPCS 		Eligard (leuprolide Acetate) 45mg Inj 5 $4,146.30 $6,138.00 $4,146.30 nat. median
$448
outlier · 9.2×
J9217
HCPCS 		Eligard (leuprolide Acetate) 45mg Inj 5 $2,073.15 $8,468.55 $4,146.30 nat. median
$2,144
1.9× median
Q5129
HCPCS 		Vegzelma 400mg Sdv 16ml 5 $4,145.79 $6,137.00 $4,145.79 nat. median
$60
outlier · 69.2×
J2796
HCPCS 		Nplate (romiPLOStim) 250mcg/0.5ml Vial 5 $3,209.05 $5,938.50 $4,011.66 nat. median
$2,653
1.5× median
J0517
HCPCS 		Fasenra 30mg Pfs 5 $3,958.60 $5,859.50 $3,958.60 nat. median
$404
outlier · 9.8×
J9317
HCPCS 		Trodelvy IV Pwdforsoln 180mg 5 $3,791.34 $5,612.50 $3,943.83 nat. median
$70
outlier · 56.6×
28118
CPT 		Ostectomy Calcaneus 1 $3,885.00 $3,885.00 $3,885.00 nat. median
$3,359
1.2× median
J7168
HCPCS 		Kcentra (prothrombin Complex) 502iu Sdv 5 $2,364.36 $5,034.72 $3,838.00 nat. median
$589
outlier · 6.5×
Q5118
HCPCS 		Zirabev 400mg Sdv 16ml 5 $959.82 $5,589.00 $3,775.53 nat. median
$259
outlier · 14.6×
62287
CPT 		Lumbar Diskectomy 1 $3,761.00 $3,761.00 $3,761.00 nat. median
$2,880
1.3× median
22556
CPT 		Lumbar Decompression 1 $3,660.00 $3,660.00 $3,660.00 nat. median
$13,261
outlier · 0.3×
27245
CPT 		IM Hip Screw 1 $3,610.00 $3,610.00 $3,610.00 nat. median
$5,566
0.6× median
Q2049
HCPCS 		Zzlipodox Inst 50mg 2mg/ml Vial 5 $3,524.61 $5,278.00 $3,565.41 nat. median
$529
outlier · 6.7×

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.

Slice
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
             
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
29875 CPT Diagnostic Arthroscopy 11 5 $2,548.00 $2,038.40 $1,181.16 $1,923.50 $1,299.48 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
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
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
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
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
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
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
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
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
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
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
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
J9047 HCPCS Kyprolis 10mg Sdv 31 5 $5,348.00 $4,955.00 $856.80 $7,450.00 $2,727.48 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
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
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
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
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
Q4166 HCPCS Amnioexcel5x5 31 5 $2,633.00 $2,106.40 $215.73 $2,405.00 $1,342.83 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
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
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
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
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