Hospital

LORING HOSPITAL

Sac City, IA · CCN 161370 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC TTE W/ DOPPLER COMPLETE

This hospital’s price: $1,314 across 20 payers · range $341-$1,706

Source: https://www.loringhospital.org/filesimages/421418132_LoringHospital_StandardCharges.csv · observed 2026-10-01

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.

1,281 distinct procedures filed

21 distinct payers

99,322 rate rows

2026-10-01 last MRF observed

Data quality

73,477 of 99,322 rate rows are consumer-grade (74.0%)

25,845 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	25,799
percent-of-charges filed in the dollar field — excluded from medians	34
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	6
placeholder amount (≤ $0.02) — excluded from medians	6

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

Source MRF file	https://www.loringhospital.org/filesimages/Privacy%20Policies/2022%20Loring%20Hospital%20Service%20Charges.csv
Found on page	https://www.loringhospital.org/patients-and-visitors/price-transparency
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-22

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
52281 CPT	Hc Cysto W Dil Of Urethral Stricture	20	$277.83	$9,322.00	$7,177.94	nat. median $2,217 outlier · 3.2×
95811 CPT	Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs	20	$917.20	$4,586.00	$3,485.36	nat. median $1,894 1.8× median
95810 CPT	Hc Pss W 4/> Param W Tech 6+ Yrs	20	$824.00	$4,120.00	$3,151.80	nat. median $1,825 1.7× median
45541 CPT	Hc Correct Rectal Prolapse Perineal	20	$798.60	$3,993.00	$3,074.61	nat. median $3,166 1.0× median
53660 CPT	Hc Dilate Female Urethra; Initial	20	$91.36	$3,844.00	$2,959.88	nat. median $177 outlier · 16.7×
53661 CPT	Hc Dilate Female Urethra; Follow-up	20	$88.33	$3,844.00	$2,959.88	nat. median $153 outlier · 19.4×
20680 CPT	Hc Rem Impl Deep	20	$765.80	$3,829.00	$2,948.33	nat. median $3,263 0.9× median
74177 CPT	Hc CT Abdomen & Pelvis W Contrast	20	$220.10	$3,921.00	$2,929.03	nat. median $974 outlier · 3.0×
64633 CPT	Hc Destroy Cerv/thor Facet Jnt Unil	20	$422.89	$3,793.00	$2,920.61	nat. median $2,325 1.3× median
70553 CPT	Hc MRI Brain W Wo Contrast	20	$707.41	$3,541.00	$2,691.16	nat. median $1,133 outlier · 2.4×
72156 CPT	Hc MRI Spine Cervical W Wo Contrast	20	$674.20	$3,371.00	$2,595.67	nat. median $1,103 outlier · 2.4×
72157 CPT	Hc MRI Spine Thoracic W Wo Contrast	20	$674.20	$3,371.00	$2,595.67	nat. median $1,105 outlier · 2.3×
74178 CPT	Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec	20	$685.80	$3,429.00	$2,571.75	nat. median $1,024 outlier · 2.5×
72158 CPT	Hc MRI Spine Lumbar W Wo Contrast	20	$667.40	$3,337.00	$2,569.49	nat. median $1,093 outlier · 2.4×
74176 CPT	Hc CT Abd & Pelvis Wo Contrast	20	$405.57	$3,398.00	$2,548.50	nat. median $694 outlier · 3.7×
72197 CPT	Hc MRI Pelvis W Wo Contrast	20	$657.80	$3,289.00	$2,532.53	nat. median $1,063 outlier · 2.4×
74183 CPT	Hc MRI Abdomen W Wo Contrast	20	$657.80	$3,289.00	$2,532.53	nat. median $1,100 outlier · 2.3×
28820 CPT	Hc Amputate Toe; Mtp Joint	20	$390.47	$3,285.00	$2,529.45	nat. median $3,395 0.7× median
71552 CPT	Hc MRI Chest W Wo Contrast	20	$654.20	$3,271.00	$2,518.67	nat. median $1,097 outlier · 2.3×
73223 CPT	Hc MRI Up Extr Any Joint W Wo Contr	20	$653.00	$3,265.00	$2,514.05	nat. median $1,158 outlier · 2.2×
73723 CPT	Hc MRI Low Extr Any Joint W Wo Contr	20	$653.00	$3,265.00	$2,514.05	nat. median $1,192 outlier · 2.1×
73720 CPT	Hc MRI Low Extr Not Joint W Wo Contr	20	$653.00	$3,265.00	$2,514.05	nat. median $1,129 outlier · 2.2×
73220 CPT	Hc MRI Up Extr Not Joint W Wo Contr	20	$653.00	$3,265.00	$2,514.05	nat. median $1,130 outlier · 2.2×
70543 CPT	Hc MRI Orbit Face Neck W Wo Contrast	20	$653.00	$3,265.00	$2,514.05	nat. median $1,083 outlier · 2.3×
C1769 HCPCS	Hc Guide Wire Lvl 16	20	$643.00	$3,215.00	$2,475.55	nat. median $191 outlier · 13.0×
46040 CPT	Hc I&d Perirectal Or Ischial Abscess	20	$636.80	$3,184.00	$2,451.68	nat. median $1,693 1.4× median
10180 CPT	Hc I&d Cplx Postop Wnd Inf	20	$397.10	$3,001.00	$2,310.77	nat. median $2,863 0.8× median
74174 CPT	Hc CT Angio Abd And Pelv Wo W Contrast	20	$589.60	$2,948.00	$2,269.96	nat. median $988 outlier · 2.3×
37609 CPT	Hc Ligation Or Biopsy Temporal Artery	20	$450.16	$2,918.00	$2,246.86	nat. median $1,884 1.2× median
70549 CPT	Hc MRA Neck W Wo Contrast	20	$580.60	$2,903.00	$2,235.31	nat. median $1,055 outlier · 2.1×
70546 CPT	Hc MRA Head W Wo Contrast	20	$580.60	$2,903.00	$2,235.31	nat. median $1,070 outlier · 2.1×
95805 CPT	Mslt/mwt; Global	19	$587.20	$2,936.00	$2,231.36	nat. median $1,233 1.8× median
75635 CPT	Hc CT Angiography Aorta Iliofemoral Runoff	20	$544.60	$2,723.00	$2,096.71	nat. median $722 outlier · 2.9×
C1781 HCPCS	Hc Mesh (implantable) Lvl 1	20	$42.80	$9,647.00	$2,058.24	nat. median $1,412 1.5× median
74175 CPT	Hc CT Angiography Abdomen W Wo Contrast	20	$500.00	$2,500.00	$1,925.00	nat. median $714 outlier · 2.7×
11620 CPT	Hc Exc H-f-nk-sp Mal+marg 0.5 <	20	$273.33	$2,444.00	$1,881.88	nat. median $1,535 1.2× median
28825 CPT	Hc Amputate Toe; Ip Joint	20	$380.90	$2,430.00	$1,871.10	nat. median $3,334 0.6× median
72148 CPT	Hc MRI Spine Lumbar Wo Contrast	20	$425.02	$2,367.00	$1,798.92	nat. median $805 outlier · 2.2×
71275 CPT	Hc CT Angiography Chest W Wo Contrast	20	$475.20	$2,376.00	$1,782.00	nat. median $754 outlier · 2.4×
0750 RC		14	$202.00	$2,846.00	$1,732.44	nat. median $1,870 0.9× median
70545 CPT	Hc MRA Head W Contrast	20	$439.80	$2,199.00	$1,693.23	nat. median $889 1.9× median
70548 CPT	Hc MRA Neck W Contrast	20	$439.80	$2,199.00	$1,693.23	nat. median $922 1.8× median
70542 CPT	Hc MRI Orbit Face Neck W Contrast	20	$436.60	$2,183.00	$1,680.91	nat. median $923 1.8× median
0278 RC		14	$537.00	$3,219.00	$1,652.42	nat. median $1,467 1.1× median
70496 CPT	Hc CT Angiography Head W Wo Contrast	20	$332.79	$2,142.00	$1,638.63	nat. median $747 outlier · 2.2×
70498 CPT	Hc CT Angiography Neck W Wo Contrast	20	$332.79	$2,142.00	$1,628.63	nat. median $739 outlier · 2.2×
70470 CPT	Hc CT Head Or Brain W Wo Contrast	20	$384.67	$2,115.00	$1,628.55	nat. median $622 outlier · 2.6×
86366 CPT	Hc Muscle-specific Kinase Antb	20	$22.08	$2,112.50	$1,626.63	nat. median $41 outlier · 39.4×
24605 CPT	Hc Tx Cl Elbow Disloc W Anesth	20	$409.20	$2,046.00	$1,575.42	nat. median $1,894 0.8× median
46320 CPT	Hc Exc Ext Thrombosed Hemorrhoids	20	$250.68	$2,035.00	$1,566.95	nat. median $1,318 1.2× median

Other procedures at this hospital

Browse this hospital's 1,281 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

52281	CPT	Hc Cysto W Dil Of Urethral Stricture	45	20	$9,322.00	$7,457.60	$277.83	$9,322.00	$7,177.94	2026-10-01
95811	CPT	Hc Pss W 4/> Param W Cpap/bipap 6+ Yrs	45	20	$4,586.00	$3,668.80	$917.20	$4,586.00	$3,485.36	2026-10-01
95810	CPT	Hc Pss W 4/> Param W Tech 6+ Yrs	44	20	$4,120.00	$3,296.00 20% off	$824.00	$4,120.00	$3,151.80	2026-10-01
45541	CPT	Hc Correct Rectal Prolapse Perineal	45	20	$3,993.00	$3,194.40 20% off	$798.60	$3,993.00	$3,074.61	2026-10-01
53661	CPT	Hc Dilate Female Urethra; Follow-up	45	20	$3,844.00	$3,075.20 20% off	$88.33	$3,844.00	$2,959.88	2026-10-01
53660	CPT	Hc Dilate Female Urethra; Initial	45	20	$3,844.00	$3,075.20 20% off	$91.36	$3,844.00	$2,959.88	2026-10-01
20680	CPT	Hc Rem Impl Deep	42	20	$3,829.00	$3,063.20 20% off	$765.80	$3,829.00	$2,948.33	2026-10-01
74177	CPT	Hc CT Abdomen & Pelvis W Contrast	46	20	$3,921.00	$3,136.80	$220.10	$3,921.00	$2,929.03	2026-10-01
64633	CPT	Hc Destroy Cerv/thor Facet Jnt Unil	45	20	$3,793.00	$3,034.40 20% off	$422.89	$3,793.00	$2,920.61	2026-10-01
70553	CPT	Hc MRI Brain W Wo Contrast	45	20	$3,541.00	$2,832.80	$707.41	$3,541.00	$2,691.16	2026-10-01
72156	CPT	Hc MRI Spine Cervical W Wo Contrast	43	20	$3,371.00	$2,696.80	$674.20	$3,371.00	$2,595.67	2026-10-01
72157	CPT	Hc MRI Spine Thoracic W Wo Contrast	42	20	$3,371.00	$2,696.80	$674.20	$3,371.00	$2,595.67	2026-10-01
74178	CPT	Hc CT Abd & Pelvis W Wo Contr 1+ Reg/sec	45	20	$3,429.00	$2,743.20 20% off	$685.80	$3,429.00	$2,571.75	2026-10-01
72158	CPT	Hc MRI Spine Lumbar W Wo Contrast	43	20	$3,337.00	$2,669.60 20% off	$667.40	$3,337.00	$2,569.49	2026-10-01
74176	CPT	Hc CT Abd & Pelvis Wo Contrast	45	20	$3,398.00	$2,718.40 20% off	$405.57	$3,398.00	$2,548.50	2026-10-01
74183	CPT	Hc MRI Abdomen W Wo Contrast	45	20	$3,289.00	$2,631.20 20% off	$657.80	$3,289.00	$2,532.53	2026-10-01
72197	CPT	Hc MRI Pelvis W Wo Contrast	43	20	$3,289.00	$2,631.20 20% off	$657.80	$3,289.00	$2,532.53	2026-10-01
28820	CPT	Hc Amputate Toe; Mtp Joint	42	20	$3,285.00	$2,628.00 20% off	$390.47	$3,285.00	$2,529.45	2026-10-01
71552	CPT	Hc MRI Chest W Wo Contrast	42	20	$3,271.00	$2,616.80	$654.20	$3,271.00	$2,518.67	2026-10-01
73720	CPT	Hc MRI Low Extr Not Joint W Wo Contr	42	20	$3,265.00	$2,612.00 20% off	$653.00	$3,265.00	$2,514.05	2026-10-01
73723	CPT	Hc MRI Low Extr Any Joint W Wo Contr	42	20	$3,265.00	$2,612.00 20% off	$653.00	$3,265.00	$2,514.05	2026-10-01
70543	CPT	Hc MRI Orbit Face Neck W Wo Contrast	42	20	$3,265.00	$2,612.00 20% off	$653.00	$3,265.00	$2,514.05	2026-10-01
73223	CPT	Hc MRI Up Extr Any Joint W Wo Contr	42	20	$3,265.00	$2,612.00 20% off	$653.00	$3,265.00	$2,514.05	2026-10-01
73220	CPT	Hc MRI Up Extr Not Joint W Wo Contr	42	20	$3,265.00	$2,612.00 20% off	$653.00	$3,265.00	$2,514.05	2026-10-01
C1769	HCPCS	Hc Guide Wire Lvl 16	41	20	$3,215.00	$2,572.00 20% off	$643.00	$3,215.00	$2,475.55	2026-10-01
46040	CPT	Hc I&d Perirectal Or Ischial Abscess	42	20	$3,184.00	$2,547.20 20% off	$636.80	$3,184.00	$2,451.68	2026-10-01
10180	CPT	Hc I&d Cplx Postop Wnd Inf	42	20	$3,001.00	$2,400.80	$397.10	$3,001.00	$2,310.77	2026-10-01
74174	CPT	Hc CT Angio Abd And Pelv Wo W Contrast	42	20	$2,948.00	$2,358.40	$589.60	$2,948.00	$2,269.96	2026-10-01
37609	CPT	Hc Ligation Or Biopsy Temporal Artery	42	20	$2,918.00	$2,334.40	$450.16	$2,918.00	$2,246.86	2026-10-01
70546	CPT	Hc MRA Head W Wo Contrast	42	20	$2,903.00	$2,322.40	$580.60	$2,903.00	$2,235.31	2026-10-01
70549	CPT	Hc MRA Neck W Wo Contrast	42	20	$2,903.00	$2,322.40	$580.60	$2,903.00	$2,235.31	2026-10-01
95805	CPT	Mslt/mwt; Global	29	19	$2,936.00	$2,348.80	$587.20	$2,936.00	$2,231.36	2026-10-01
75635	CPT	Hc CT Angiography Aorta Iliofemoral Runoff	42	20	$2,723.00	$2,178.40	$544.60	$2,723.00	$2,096.71	2026-10-01
C1781	HCPCS	Hc Mesh (implantable) Lvl 1	533	20	$3,215.00	$2,572.00 20% off	$42.80	$9,647.00	$2,058.24	2026-10-01
74175	CPT	Hc CT Angiography Abdomen W Wo Contrast	44	20	$2,500.00	$2,000.00 20% off	$500.00	$2,500.00	$1,925.00	2026-10-01
11620	CPT	Hc Exc H-f-nk-sp Mal+marg 0.5 <	42	20	$2,444.00	$1,955.20 20% off	$273.33	$2,444.00	$1,881.88	2026-10-01
28825	CPT	Hc Amputate Toe; Ip Joint	42	20	$2,430.00	$1,944.00 20% off	$380.90	$2,430.00	$1,871.10	2026-10-01
72148	CPT	Hc MRI Spine Lumbar Wo Contrast	45	20	$2,367.00	$1,893.60 20% off	$425.02	$2,367.00	$1,798.92	2026-10-01
71275	CPT	Hc CT Angiography Chest W Wo Contrast	45	20	$2,376.00	$1,900.80 20% off	$475.20	$2,376.00	$1,782.00	2026-10-01
0750	RC	—	264	14	$2,161.50	$1,729.20 20% off	$202.00	$2,846.00	$1,732.44	2026-10-01
70548	CPT	Hc MRA Neck W Contrast	42	20	$2,199.00	$1,759.20 20% off	$439.80	$2,199.00	$1,693.23	2026-10-01
70545	CPT	Hc MRA Head W Contrast	42	20	$2,199.00	$1,759.20 20% off	$439.80	$2,199.00	$1,693.23	2026-10-01
70542	CPT	Hc MRI Orbit Face Neck W Contrast	42	20	$2,183.00	$1,746.40	$436.60	$2,183.00	$1,680.91	2026-10-01
0278	RC	—	66	14	$2,146.00	$1,716.80 20% off	$537.00	$3,219.00	$1,652.42	2026-10-01
70496	CPT	Hc CT Angiography Head W Wo Contrast	44	20	$2,142.00	$1,713.60 20% off	$332.79	$2,142.00	$1,638.63	2026-10-01
70498	CPT	Hc CT Angiography Neck W Wo Contrast	44	20	$2,142.00	$1,713.60 20% off	$332.79	$2,142.00	$1,628.63	2026-10-01
70470	CPT	Hc CT Head Or Brain W Wo Contrast	42	20	$2,115.00	$1,692.00 20% off	$384.67	$2,115.00	$1,628.55	2026-10-01
86366	CPT	Hc Muscle-specific Kinase Antb	42	20	$2,112.50	$1,690.00 20% off	$22.08	$2,112.50	$1,626.63	2026-10-01
24605	CPT	Hc Tx Cl Elbow Disloc W Anesth	45	20	$2,046.00	$1,636.80 20% off	$409.20	$2,046.00	$1,575.42	2026-10-01
46320	CPT	Hc Exc Ext Thrombosed Hemorrhoids	42	20	$2,035.00	$1,628.00 20% off	$250.68	$2,035.00	$1,566.95	2026-10-01
71555	CPT	Hc MRA Chest W Wo Contrast	83	20	$3,096.00	$2,476.80	$326.20	$3,096.00	$1,565.76	2026-10-01
72198	CPT	Hc MRA Pelvis W Contrast	83	20	$1,626.00	$1,300.80 20% off	$325.20	$3,090.00	$1,560.96	2026-10-01
74185	CPT	Hc MRA Abdomen W Contrast	83	20	$1,626.00	$1,300.80 20% off	$325.20	$3,090.00	$1,560.96	2026-10-01
73225	CPT	Hc MRA With Contrast Upper Extremity	83	20	$1,610.00	$1,288.00 20% off	$322.00	$3,055.00	$1,545.60	2026-10-01
64624	CPT	Hc Destr W Neurolytic Genicular Nrv	45	20	$1,997.00	$1,597.60 20% off	$321.21	$1,997.00	$1,537.69	2026-10-01
36573	CPT	Hc Ins Picc Rs&i 5 Yr+	45	20	$1,990.00	$1,592.00 20% off	$179.78	$1,990.00	$1,532.30	2026-10-01
19081	CPT	Hc Bx Breast 1st Lesion Stereotactic	42	20	$1,985.00	$1,588.00 20% off	$352.89	$1,985.00	$1,528.45	2026-10-01
19082	CPT	Hc Bx Breast Add Lesion Stereotactic	42	20	$1,985.00	$1,588.00 20% off	$176.83	$1,985.00	$1,528.45	2026-10-01
71260	CPT	Hc CT Chest W Contrast Diag	45	20	$2,172.00	$1,737.60 20% off	$370.28	$2,172.00	$1,520.39	2026-10-01
62323	CPT	Hc Inj Interlam L/s W Img	48	20	$1,979.00	$1,583.20 20% off	$218.21	$1,979.00	$1,513.93	2026-10-01
64635	CPT	Hc Destroy Lumb/sac Facet Jnt Unil	46	20	$1,965.00	$1,572.00 20% off	$393.00	$1,965.00	$1,503.22	2026-10-01
64634	CPT	Hc Destroy C/th Facet Jnt Addl Unil	45	20	$1,948.00	$1,558.40	$123.49	$1,948.00	$1,499.96	2026-10-01
72193	CPT	Hc CT Pelvis W Contrast	43	20	$1,947.00	$1,557.60 20% off	$389.40	$1,947.00	$1,499.19	2026-10-01
19083	CPT	Hc Bx Breast 1st Lesion US Imag	42	20	$1,915.00	$1,532.00 20% off	$333.74	$1,915.00	$1,474.55	2026-10-01
72147	CPT	Hc MRI Spine Thoracic W Contrast	42	20	$1,913.00	$1,530.40	$382.60	$1,913.00	$1,473.01	2026-10-01
72142	CPT	Hc MRI Spine Cervical W Contrast	42	20	$1,913.00	$1,530.40	$382.60	$1,913.00	$1,473.01	2026-10-01
73701	CPT	Hc CT Lower Extr W Contrast	42	20	$1,897.00	$1,517.60 20% off	$369.56	$1,897.00	$1,460.69	2026-10-01
72149	CPT	Hc MRI Spine Lumbar W Contrast	42	20	$1,892.00	$1,513.60 20% off	$378.40	$1,892.00	$1,456.84	2026-10-01
70552	CPT	Hc MRI Brain W Contrast	42	20	$1,889.00	$1,511.20 20% off	$377.80	$1,889.00	$1,454.53	2026-10-01
27252	CPT	Hc Cl Tx Trauma Hip Disloc W Anesth	42	20	$1,888.00	$1,510.40	$377.60	$1,888.00	$1,453.76	2026-10-01
70491	CPT	Hc CT Soft Tissue Neck W Contrast	44	20	$1,908.00	$1,526.40	$381.60	$1,908.00	$1,450.08	2026-10-01
73725	CPT	Hc MRA Low Extr Wo Contrast	124	20	$1,634.00	$1,307.20 20% off	$323.40	$3,104.00	$1,446.61	2026-10-01
64520	CPT	Hc Inj Anesth Lumb/thor Sympathetic	45	20	$1,873.00	$1,498.40	$155.62	$1,873.00	$1,442.21	2026-10-01
74182	CPT	Hc MRI Abdomen W Contrast	42	20	$1,868.00	$1,494.40	$373.60	$1,868.00	$1,438.36	2026-10-01
71551	CPT	Hc MRI Chest W Contrast	42	20	$1,868.00	$1,494.40	$373.60	$1,868.00	$1,438.36	2026-10-01
72196	CPT	Hc MRI Pelvis W Contrast	42	20	$1,868.00	$1,494.40	$373.60	$1,868.00	$1,438.36	2026-10-01
70492	CPT	Hc CT Soft Tissue Neck W Wo Contrast	42	20	$1,860.00	$1,488.00 20% off	$372.00	$1,860.00	$1,432.20	2026-10-01
73222	CPT	Hc MRI Up Extr Any Joint W Contrast	42	20	$1,844.00	$1,475.20 20% off	$368.80	$1,844.00	$1,419.88	2026-10-01
73719	CPT	Hc MRI Low Extr Not Joint W Contrast	42	20	$1,844.00	$1,475.20 20% off	$368.80	$1,844.00	$1,419.88	2026-10-01
73722	CPT	Hc MRI Low Extr Any Joint W Contrast	42	20	$1,844.00	$1,475.20 20% off	$368.80	$1,844.00	$1,419.88	2026-10-01
70450	CPT	Hc CT Head Or Brain Wo Contrast	45	20	$1,893.00	$1,514.40	$234.85	$1,893.00	$1,419.75	2026-10-01
64483	CPT	Hc Inj(s) Foramen Epidural L/s Sgl Lev	45	20	$1,838.00	$1,470.40	$244.60	$1,838.00	$1,415.26	2026-10-01
70487	CPT	Hc CT Maxillofacial W Contrast	42	20	$1,825.00	$1,460.00 20% off	$337.13	$1,825.00	$1,405.25	2026-10-01
74160	CPT	Hc CT Abdomen W Contrast	42	20	$1,824.00	$1,459.20 20% off	$364.80	$1,824.00	$1,404.48	2026-10-01
71250	CPT	Hc CT Chest Wo Contrast Diag	46	20	$2,041.00	$1,632.80 20% off	$82.42	$2,041.00	$1,400.09	2026-10-01
70490	CPT	Hc CT Soft Tissue Neck Wo Contrast	43	20	$1,815.00	$1,452.00 20% off	$332.09	$1,815.00	$1,397.55	2026-10-01
70488	CPT	Hc CT Maxillofacial W Wo Contrast	42	20	$1,781.00	$1,424.80 20% off	$356.20	$1,781.00	$1,371.37	2026-10-01
70482	CPT	Hc CT Orbit Sella Mid Inner Ear W Wo Contr	42	20	$1,781.00	$1,424.80 20% off	$356.20	$1,781.00	$1,371.37	2026-10-01
72141	CPT	Hc MRI Spine Cervical Wo Contrast	43	20	$1,770.00	$1,416.00 20% off	$354.00	$1,770.00	$1,362.90	2026-10-01
72159	CPT	Hc MRA With Contrast Spinal Canal	42	20	$1,765.00	$1,412.00 20% off	$353.00	$1,765.00	$1,359.05	2026-10-01
23655	CPT	Hc Cl Tx Shldr Disl W Manip W Anesth	45	20	$1,759.00	$1,407.20 20% off	$351.80	$1,759.00	$1,354.43	2026-10-01
70480	CPT	Hc CT Orbit Sella Mid Inner Ear Wo Contr	44	20	$1,741.00	$1,392.80 20% off	$312.99	$1,741.00	$1,340.57	2026-10-01
72146	CPT	Hc MRI Spine Thoracic Wo Contrast	42	20	$1,741.00	$1,392.80 20% off	$348.20	$1,741.00	$1,340.57	2026-10-01
72125	CPT	Hc CT Cervical Spine Wo Contrast	45	20	$1,775.00	$1,420.00 20% off	$156.50	$1,775.00	$1,331.25	2026-10-01
72128	CPT	Hc CT Thoracic Spine Wo Contrast	42	20	$1,763.00	$1,410.40	$287.43	$1,763.00	$1,331.07	2026-10-01
62322	CPT	Hc Inj Interlam L/s Wo Img	42	20	$1,718.00	$1,374.40	$173.88	$1,718.00	$1,322.86	2026-10-01
36556	CPT	Hc Ins Non-tunnel Cv Cath 5 Yrs/>	42	20	$1,714.00	$1,371.20 20% off	$183.44	$1,714.00	$1,319.78	2026-10-01
72194	CPT	Hc CT Pelvis W Wo Contrast	42	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
71270	CPT	Hc CT Chest W Wo Contrast Diag	43	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
73702	CPT	Hc CT Lower Extr W Wo Contrast	42	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
74170	CPT	Hc CT Abdomen W Wo Contrast	43	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
72130	CPT	Hc CT Thoracic Spine W Wo Contrast	42	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
73202	CPT	Hc CT Upper Extr W Wo Contrast	42	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
73700	CPT	Hc CT Lower Extr Wo Contrast	42	20	$1,713.00	$1,370.40	$286.70	$1,713.00	$1,319.01	2026-10-01
72127	CPT	Hc CT Cervical Spine W Wo Contrast	42	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
72133	CPT	Hc CT Lumbar Spine W Wo Contrast	42	20	$1,713.00	$1,370.40	$342.60	$1,713.00	$1,319.01	2026-10-01
70486	CPT	Hc CT Maxillofacial Wo Contrast	45	20	$1,735.00	$1,388.00 20% off	$172.00	$1,735.00	$1,318.60	2026-10-01
93306	CPT	Hc Tte With Doppler Complete	45	20	$1,706.00	$1,364.80 20% off	$341.20	$1,706.00	$1,313.62	2026-10-01
74150	CPT	Hc CT Abdomen Wo Contrast	42	20	$1,698.00	$1,358.40	$302.57	$1,698.00	$1,307.46	2026-10-01
73200	CPT	Hc CT Upper Extr Wo Contrast	42	20	$1,698.00	$1,358.40	$339.60	$1,698.00	$1,307.46	2026-10-01
72192	CPT	Hc CT Pelvis Wo Contrast	44	20	$1,698.00	$1,358.40	$294.62	$1,698.00	$1,298.97	2026-10-01
73721	CPT	Hc MRI Low Extr Any Joint Wo Contrast	42	20	$1,666.00	$1,332.80 20% off	$333.20	$1,666.00	$1,282.82	2026-10-01
70551	CPT	Hc MRI Brain Wo Contrast	45	20	$1,666.00	$1,332.80 20% off	$333.20	$1,666.00	$1,266.16	2026-10-01
36569	CPT	Hc Ins Picc Age Wo Img 5 Yrs/>	46	20	$1,642.00	$1,313.60 20% off	$205.56	$2,733.20	$1,264.34	2026-10-01
36590	CPT	Hc Rem Tunneled Cvad W Port/pump	42	20	$1,618.00	$1,294.40	$323.60	$1,618.00	$1,245.86	2026-10-01
62273	CPT	Hc Inj Epidural Blood Or Clot Patch	45	20	$1,614.00	$1,291.20 20% off	$248.29	$1,614.00	$1,242.78	2026-10-01
73221	CPT	Hc MRI Up Extr Any Joint Wo Contrast	42	20	$1,614.00	$1,291.20 20% off	$322.80	$1,614.00	$1,242.78	2026-10-01
0200	RC	—	10	9	$1,297.00	$1,037.60 20% off	$778.20	$1,297.00	$1,238.63	2026-10-01
70544	CPT	Hc MRA Head Wo Contrast	42	20	$1,603.00	$1,282.40	$320.60	$1,603.00	$1,234.31	2026-10-01
72131	CPT	Hc CT Lumbar Spine Wo Contrast	45	20	$1,763.00	$1,410.40	$285.98	$1,763.00	$1,234.10	2026-10-01
70481	CPT	Hc CT Orbit Sella Mid Inner Ear W Contr	42	20	$1,598.00	$1,278.40	$319.60	$1,598.00	$1,230.46	2026-10-01
70460	CPT	Hc CT Head Or Brain W Contrast	43	20	$1,598.00	$1,278.40	$319.60	$1,598.00	$1,230.46	2026-10-01
70336	CPT	Hc MRI Of Tmj	42	20	$1,575.00	$1,260.00 20% off	$315.00	$1,575.00	$1,212.75	2026-10-01
62321	CPT	Hc Inj Interlam C/t W Img	46	20	$1,559.00	$1,247.20 20% off	$237.06	$1,559.00	$1,200.43	2026-10-01
15271	CPT	Hc Skin Sub Graft T/a/l 25 Sq Cm	42	20	$1,559.00	$1,247.20 20% off	$184.19	$1,559.00	$1,200.43	2026-10-01
72195	CPT	Hc MRI Pelvis Wo Contrast	43	20	$1,558.00	$1,246.40	$311.60	$1,558.00	$1,199.66	2026-10-01
74181	CPT	Hc MRI Abdomen Wo Contrast	43	20	$1,558.00	$1,246.40	$311.60	$1,558.00	$1,199.66	2026-10-01
71550	CPT	Hc MRI Chest Wo Contrast	42	20	$1,558.00	$1,246.40	$311.60	$1,558.00	$1,199.66	2026-10-01
73718	CPT	Hc MRI Low Extr Not Joint Wo Contrast	42	20	$1,538.00	$1,230.40	$307.60	$1,538.00	$1,184.26	2026-10-01
73218	CPT	Hc MRI Up Extr Not Joint Wo Contrast	42	20	$1,538.00	$1,230.40	$307.60	$1,538.00	$1,184.26	2026-10-01
70540	CPT	Hc MRI Orbit Face Neck Wo Contrast	42	20	$1,538.00	$1,230.40	$307.60	$1,538.00	$1,184.26	2026-10-01
64493	CPT	Hc Inj Paravert F Jnt L/s 1 Lev Bilat	88	20	$1,265.00	$1,012.00 20% off	$198.92	$2,577.00	$1,175.39	2026-10-01
70547	CPT	Hc MRA Neck Wo Contrast	42	20	$1,526.00	$1,220.80 20% off	$305.20	$1,526.00	$1,175.02	2026-10-01
72129	CPT	Hc CT Thoracic Spine W Contrast	42	20	$1,505.00	$1,204.00 20% off	$301.00	$1,505.00	$1,158.85	2026-10-01
72126	CPT	Hc CT Cervical Spine W Contrast	42	20	$1,505.00	$1,204.00 20% off	$301.00	$1,505.00	$1,158.85	2026-10-01
73201	CPT	Hc CT Upper Extr W Contrast	42	20	$1,505.00	$1,204.00 20% off	$301.00	$1,505.00	$1,158.85	2026-10-01
72132	CPT	Hc CT Lumbar Spine W Contrast	42	20	$1,505.00	$1,204.00 20% off	$301.00	$1,505.00	$1,158.85	2026-10-01
0723	RC	—	44	14	$2,078.00	$1,662.40	$160.00	$3,836.00	$1,119.00	2026-10-01
62320	CPT	Hc Inj Interlam C/t Wo Img	42	20	$1,450.00	$1,160.00 20% off	$219.56	$1,450.00	$1,116.50	2026-10-01
26742	CPT	Hc Cl Tx Art Fx Mcp/ip Jnt W Manip	46	20	$1,440.00	$1,152.00 20% off	$288.00	$1,440.00	$1,101.60	2026-10-01
94002	CPT	Hc Vent Mgmt Inpat Init Day	42	20	$1,417.00	$1,133.60 20% off	$200.85	$1,417.00	$1,091.09	2026-10-01
27096	CPT	Hc Sij Anesth/steriod Inj Pain	45	20	$1,403.00	$1,122.40	$181.98	$1,403.00	$1,080.31	2026-10-01
S9455	HCPCS	Hc Diabetes Mgmt Prog, Group	82	20	$1,362.50	$1,090.00 20% off	$257.40	$1,438.00	$1,079.79	2026-10-01
19285	CPT	Hc Perq Dev Breast 1st Les US Imag	42	20	$1,368.00	$1,094.40	$181.98	$1,368.00	$1,053.36	2026-10-01
81270	CPT	Hc Jak2 Gene	42	20	$1,359.80	$1,087.84 20% off	$109.99	$1,359.80	$1,047.05	2026-10-01
11044	CPT	Hc Debride Skin & Bone	42	20	$1,320.00	$1,056.00 20% off	$264.00	$1,320.00	$1,016.40	2026-10-01
19084	CPT	Hc Bx Breast Add Lesion US Imag	42	20	$1,313.00	$1,050.40	$166.50	$1,313.00	$1,011.01	2026-10-01
46270	CPT	Hc Remove Anal Fist Subq	42	20	$1,297.00	$1,037.60 20% off	$259.40	$1,297.00	$998.69	2026-10-01
0272	RC	—	990	14	$1,258.00	$1,006.40 20% off	$7.50	$4,172.00	$984.00	2026-10-01
93930	CPT	Hc Duplex Ue Art/bpg; Bilat	42	20	$1,274.00	$1,019.20	$254.80	$1,274.00	$980.98	2026-10-01
57505	CPT	Hc Endocervical Curettage	42	20	$1,227.00	$981.60 20% off	$206.01	$1,227.00	$944.79	2026-10-01
52315	CPT	Hc Cysto W Rem Fb/stnt Ureth/bld; Compl	45	20	$1,210.00	$968.00 20% off	$242.00	$1,210.00	$931.70	2026-10-01
78227	CPT	Hc Nm Hepatobil Syst Image W/drug	43	20	$1,204.00	$963.20	$240.80	$1,204.00	$927.08	2026-10-01
78315	CPT	Hc Nm Bone Imaging 3 Phase	42	20	$1,204.00	$963.20	$240.80	$1,204.00	$927.08	2026-10-01
46050	CPT	Hc I&d Perianal Abscess	45	20	$1,202.00	$961.60 20% off	$222.72	$1,202.00	$925.54	2026-10-01
10080	CPT	Hc I&d Pilonid Cys Smpl	45	20	$1,185.00	$948.00 20% off	$194.67	$1,185.00	$912.45	2026-10-01
94003	CPT	Hc Vent Mgmt Inpat Subq Day	42	20	$1,182.00	$945.60 20% off	$143.46	$1,182.00	$910.14	2026-10-01
64625	CPT	Hc Rf Abltj Si Joint Nrv Nrvtg	45	20	$1,182.00	$945.60 20% off	$236.40	$1,309.04	$910.14	2026-10-01
Q4194	HCPCS	Hc Novachor 1 Sq Cm Lvl 6	41	20	$1,175.00	$940.00 20% off	$235.00	$1,175.00	$904.75	2026-10-01
64640	CPT	Hc Destr W Neurolytic Other Periph Nrv	46	20	$1,182.00	$945.60 20% off	$219.25	$1,182.00	$904.23	2026-10-01
25565	CPT	Hc Cl Tx Radial & Ulna Fx W Manip	46	20	$1,174.00	$939.20	$234.80	$1,174.00	$903.98	2026-10-01
64479	CPT	Hc Inj(s) Foramen Epidural C/t Sgl Lev	42	20	$1,172.00	$937.60 20% off	$234.40	$1,172.00	$902.44	2026-10-01
28190	CPT	Hc Rem Fb Foot Sq	45	20	$1,161.00	$928.80 20% off	$232.20	$2,327.64	$893.97	2026-10-01
64484	CPT	Hc Inj(s) Foramen Epid L/s Addtl Lev	45	20	$1,133.00	$906.40 20% off	$112.73	$1,133.00	$872.41	2026-10-01
93017	CPT	Hc Cvslr Stress Test; Tracing	42	20	$1,095.00	$876.00 20% off	$74.94	$1,095.00	$843.15	2026-10-01
78580	CPT	Hc Nm Lung Perfusion Imaging	42	20	$1,091.00	$872.80 20% off	$218.20	$1,091.00	$840.07	2026-10-01
41252	CPT	Hc Rep Lac Tongue Flr Mouth > 2.6 Cplx	45	20	$1,089.00	$871.20	$217.80	$1,089.00	$838.53	2026-10-01
92960	CPT	Hc Cardioversion	45	20	$1,086.00	$868.80 20% off	$217.20	$1,086.00	$836.22	2026-10-01
64488	CPT	Hc Tap Block Bilat By Inj	45	20	$1,030.00	$824.00 20% off	$149.56	$1,030.00	$793.10	2026-10-01
99291	CPT	Hc Critical Care 30-74 Min	48	20	$1,039.00	$831.20	$207.80	$1,039.00	$789.64	2026-10-01
C1788	HCPCS	Hc Impl Indwelling Port Lvl 2	41	20	$1,008.00	$806.40 20% off	$201.60	$1,008.00	$776.16	2026-10-01
64454	CPT	Hc Inj Anesth/ster Genicular Nrv Branch	45	20	$1,000.00	$800.00 20% off	$180.50	$1,000.00	$770.00	2026-10-01
52310	CPT	Hc Cysto W Rem Fb/calc/stnt Ureth Or Bldr Smpl	45	20	$999.00	$799.20	$199.80	$999.00	$769.23	2026-10-01
Q4282	HCPCS	Hc Cygnus Dual Per Sq Cm Lvl 5	42	20	$995.00	$796.00 20% off	$199.00	$995.00	$766.15	2026-10-01
11626	CPT	Hc Exc S/n/h/f/g Mal+mrg > 4 Cm	42	20	$987.00	$789.60 20% off	$197.40	$987.00	$759.99	2026-10-01
93880	CPT	Hc Carotid Duplex Scan; Bilat	45	20	$977.00	$781.60 20% off	$195.40	$977.00	$742.52	2026-10-01
11606	CPT	Hc Exc Tr-ext Mal+marg >4.0 Cm	42	20	$964.00	$771.20	$192.80	$964.00	$742.28	2026-10-01
59414	CPT	Hc Delivery Of Placenta	45	20	$946.00	$756.80 20% off	$167.58	$946.00	$728.42	2026-10-01
32555	CPT	Hc Aspirate Pleura With Imaging	42	20	$930.00	$744.00 20% off	$186.00	$930.00	$716.10	2026-10-01
64494	CPT	Hc Inj Paravert F Jnt L/s 2 Lev Bilat	88	20	$738.00	$590.40 20% off	$111.24	$1,477.00	$712.17	2026-10-01
78226	CPT	Hc Nm Hepatobiliary System Imaging	42	20	$914.00	$731.20	$182.80	$914.00	$703.78	2026-10-01
64636	CPT	Hc Destroy L/s Facet Jnt Addl Unil	45	20	$913.00	$730.40 20% off	$108.99	$913.00	$703.01	2026-10-01
19100	CPT	Hc Bx Breast Perc Ndl Wo Guide	42	20	$912.00	$729.60 20% off	$151.76	$912.00	$702.24	2026-10-01
78306	CPT	Hc Nm Bone Imaging Whole Body	42	20	$908.00	$726.40 20% off	$181.60	$908.00	$699.16	2026-10-01
78305	CPT	Hc Nm Bone Imaging Mult Areas	42	20	$903.00	$722.40 20% off	$180.60	$903.00	$695.31	2026-10-01
78708	CPT	Hc Nm Kidney Flow Funct W Drug	43	20	$903.00	$722.40 20% off	$180.60	$937.49	$695.31	2026-10-01
64495	CPT	Hc Inj Paravert F Jnt L/s 3 Lev	86	20	$714.00	$571.20	$113.47	$1,425.00	$685.43	2026-10-01
0360	RC	—	374	14	$749.00	$599.20	$101.00	$6,976.00	$681.45	2026-10-01
12044	CPT	Hc Int Rep N/h/f/g 7.6-12.5 Cm	45	20	$885.00	$708.00 20% off	$177.00	$885.00	$681.45	2026-10-01
78472	CPT	Hc Nm Cardiac Blood Pool Sgl	42	20	$882.00	$705.60 20% off	$176.40	$882.00	$679.14	2026-10-01
78300	CPT	Hc Nm Bone Imaging Ltd	42	20	$881.00	$704.80 20% off	$176.20	$881.00	$678.37	2026-10-01
78707	CPT	Hc Nm Kidney Flow Funct Wo Drug	42	20	$881.00	$704.80 20% off	$176.20	$881.00	$678.37	2026-10-01
0270	RC	—	1,386	14	$844.00	$675.20	$6.00	$5,843.00	$677.10	2026-10-01
93320	CPT	Hc Doppler Echo; Complete	42	20	$876.00	$700.80 20% off	$103.70	$876.00	$674.52	2026-10-01
36575	CPT	Hc Repair Cv Access Cath W/oport Tun/nontun	42	20	$875.00	$700.00 20% off	$72.20	$875.00	$673.75	2026-10-01
88309	CPT	Hc Surg Pat, Level-v1	87	20	$808.00	$646.40 20% off	$161.60	$884.00	$671.84	2026-10-01
11604	CPT	Hc Exc M Les T/a/l 3.1-4.0 Cm	42	20	$871.00	$696.80 20% off	$174.20	$871.00	$670.67	2026-10-01
93925	CPT	Hc Duplex Le Art/bpg; Bilat	45	20	$879.00	$703.20	$175.80	$879.00	$668.04	2026-10-01
81342	CPT	Hc Trg Gene Rearrangement Anal	42	20	$865.00	$692.00 20% off	$173.00	$865.00	$666.05	2026-10-01
94621	CPT	Hc Pulmonary Stress Complex	42	20	$864.00	$691.20	$172.80	$864.00	$665.28	2026-10-01
78473	CPT	Hc Nm Cardiac Blood Pool Mult	42	20	$863.00	$690.40 20% off	$172.60	$863.00	$664.51	2026-10-01
52000	CPT	Hc Cystourethroscopy	47	20	$855.00	$684.00 20% off	$171.00	$965.50	$658.35	2026-10-01
95806	CPT	Hc Sleep Study Unatt & Resp Efft	46	20	$869.00	$695.20	$48.84	$869.00	$656.10	2026-10-01
81261	CPT	Hc Igh Gene Rearrange Amp Meth	42	20	$849.00	$679.20	$169.80	$849.00	$653.73	2026-10-01
55000	CPT	Hc Punct Asp Hydrocele Tunica Vaginalis	45	20	$839.00	$671.20	$167.80	$839.00	$646.03	2026-10-01
32554	CPT	Hc Aspirate Pleura Without Imaging	42	20	$838.00	$670.40 20% off	$167.60	$838.00	$645.26	2026-10-01
76776	CPT	Hc US Exam Kidney Transpl W Doppler	42	20	$832.00	$665.60 20% off	$166.40	$832.00	$640.64	2026-10-01
64491	CPT	Hc Inj Paravert F Jnt C/t 2 Lev	45	20	$827.00	$661.60 20% off	$129.67	$827.00	$636.79	2026-10-01
19086	CPT	Hc Bx Breast Add Lesion Mr Imag	42	20	$822.00	$657.60 20% off	$164.40	$822.00	$632.94	2026-10-01
19085	CPT	Hc Bx Breast 1st Lesion Mr Imag	42	20	$822.00	$657.60 20% off	$164.40	$822.00	$632.94	2026-10-01
95800	CPT	Hc Sleep Study Unattended	42	20	$805.00	$644.00 20% off	$161.00	$805.00	$619.85	2026-10-01
0202U	OTHER	Hc Nfct Ds 22 Trgt Sars-cov-2	26	15	$800.00	$640.00 20% off	$332.42	$800.00	$616.00	2026-10-01
25605	CPT	Hc Tx Fracture D Radius/ulna W Manip	46	20	$793.00	$634.40 20% off	$158.60	$1,165.52	$614.58	2026-10-01
A9562	HCPCS	Hc Tc99m Mag3 To 15 Mci	42	20	$784.00	$627.20	$156.80	$784.00	$603.68	2026-10-01
64486	CPT	Hc Tap Block Unil By Inj	45	20	$772.00	$617.60 20% off	$120.08	$772.00	$594.44	2026-10-01
11042	CPT	Hc Debride Skin To Sq Tissue	47	20	$781.00	$624.80 20% off	$132.88	$1,127.76	$593.56	2026-10-01
76811	CPT	Hc US OB Detailed Sngl Fetus	42	20	$770.00	$616.00 20% off	$154.00	$770.00	$592.90	2026-10-01
87478	CPT	Hc Borrelia Miyamotoi Amp Prb	42	20	$757.60	$606.08 20% off	$42.11	$757.60	$583.35	2026-10-01
60100	CPT	Hc Bx Thyroid Perc Core Ndl	42	20	$757.00	$605.60 20% off	$151.40	$757.00	$582.89	2026-10-01
93975	CPT	Hc US Duplex Arterial Flow Compl	43	20	$741.00	$592.80 20% off	$148.20	$741.00	$570.57	2026-10-01
21011	CPT	Pr Exc Face Les Sc < 2 Cm	4	4	$981.00	$784.80 20% off	$570.04	$832.80	$570.04	2026-10-01
11426	CPT	Hc Exc Bles S/n/ex G; > 4.0cm	42	20	$737.00	$589.60	$147.40	$737.00	$567.49	2026-10-01
0202U	CPT	Nfct Ds 22 Trgt Sars-cov-2	19	16	$800.00	$640.00 20% off	$160.00	$768.00	$560.00	2026-05-08
93970	CPT	Hc Duplex Ext Veins; Bilat	44	20	$724.00	$579.20	$144.80	$724.00	$557.48	2026-10-01
12053	CPT	Hc Int Rep F/e/n/l/mm 5.1-7.5 Cm	45	20	$724.00	$579.20	$144.80	$724.00	$557.48	2026-10-01
99285	CPT	Hc Ed Level 5 Visit	80	20	$1,150.00	$920.00 20% off	$9.60	$1,198.00	$554.88	2026-10-01
32551	CPT	Hc Insertion Of Chest Tube	86	20	$673.00	$538.40 20% off	$134.60	$830.00	$551.86	2026-10-01
26641	CPT	Hc Cl Tx Cmc Disloc Thumb W Manip	42	20	$700.00	$560.00 20% off	$140.00	$700.00	$539.00	2026-10-01
13121	CPT	Hc Crep S/a/l 2.6-7.5 Cm	45	20	$698.00	$558.40 20% off	$139.60	$927.03	$537.46	2026-10-01
G0416	HCPCS	Pr Prostate Biopsy, Any Mthd	4	4	$629.00	$503.20 20% off	$533.97	$534.87	$534.87	2026-10-01
11643	CPT	Hc Exc F/e/e/n/l Mal+mrg 2.1-3.0 Cm	42	20	$685.00	$548.00 20% off	$137.00	$685.00	$527.45	2026-10-01
11623	CPT	Hc Exc S/n/h/f/g Mal+mrg 2.1-3	42	20	$679.00	$543.20	$135.80	$679.00	$522.83	2026-10-01
11406	CPT	Hc Exc Ben Les T/a/l > 4.0 Cm	43	20	$679.00	$543.20	$135.80	$4,275.83	$522.83	2026-10-01
64492	CPT	Hc Inj Paravert F Jnt C/t 3 Lev	45	20	$668.00	$534.40 20% off	$131.87	$668.00	$514.36	2026-10-01
11603	CPT	Hc Exc Tr-ext Mal+marg 2.1-3.0 Cm	42	20	$663.00	$530.40 20% off	$132.60	$663.00	$510.51	2026-10-01
78070	CPT	Hc Nm Parathyroid Imaging	42	20	$663.00	$530.40 20% off	$132.60	$663.00	$510.51	2026-10-01
12001	CPT	Hc Srep S/n/a/g/tr/e 2.5 Cm/<	48	20	$658.00	$526.40 20% off	$92.53	$688.82	$506.66	2026-10-01
88360	CPT	Hc Manual Tumor IM Histochem Ea Ab	46	20	$660.00	$528.00 20% off	$132.00	$660.00	$504.90	2026-10-01
36430	CPT	Hc Transfusion Blood Or Component Per Unit	44	20	$668.00	$534.40 20% off	$75.83	$668.00	$504.34	2026-10-01
13122	CPT	Hc Crep S/a/l Ea Add 5 Cm/<	45	20	$652.00	$521.60	$130.40	$652.00	$502.04	2026-10-01
64450	CPT	Hc Inj Anesth/ster Othr Peripheral Nrv/branch	45	20	$638.00	$510.40 20% off	$92.09	$638.00	$491.26	2026-10-01
99205	CPT	Hc O/p Visit New Level 5	45	20	$631.00	$504.80 20% off	$126.20	$631.00	$485.87	2026-10-01
49082	CPT	Hc Abd Paracentesis	42	20	$627.00	$501.60	$125.40	$627.00	$482.79	2026-10-01
49083	CPT	Hc Abd Paracentesis W/imaging	42	20	$627.00	$501.60	$125.40	$627.00	$482.79	2026-10-01
25505	CPT	Hc Cl Tx Radial Shft Fx W Manip	42	20	$622.00	$497.60	$124.40	$622.00	$478.94	2026-10-01
10140	CPT	Hc I&d Hematoma	45	20	$621.00	$496.80 20% off	$124.20	$621.00	$471.96	2026-10-01
64420	CPT	Hc Inj Anesth/ster Intercostal Nerve Sgl Lev	45	20	$611.00	$488.80 20% off	$122.20	$611.00	$470.47	2026-10-01
93225	CPT	Hc ECG Monitor 0-48 Hrs Recording	42	20	$611.00	$488.80 20% off	$43.80	$611.00	$470.47	2026-10-01
93307	CPT	Hc Tte Without Doppler Complete	42	20	$603.00	$482.40 20% off	$120.60	$603.00	$464.31	2026-10-01
12011	CPT	Hc Srep F/e/n/l/mm 2.5 Cm/<	46	20	$598.00	$478.40 20% off	$119.60	$657.60	$460.46	2026-10-01
11404	CPT	Hc Exc Ben Les T/a/l; 3.1-4.0 Cm	42	20	$596.00	$476.80 20% off	$119.20	$596.00	$458.92	2026-10-01
88307	CPT	Hc Surg Path, Level-v	86	20	$544.00	$435.20 20% off	$108.80	$595.00	$452.20	2026-10-01
11642	CPT	Hc Exc F/e/e/n/l Mal+marg 1.1-2.0 Cm	42	20	$585.00	$468.00 20% off	$117.00	$585.00	$450.45	2026-10-01
62270	CPT	Hc Spinal Puncture Lumbar Diag	45	20	$585.00	$468.00 20% off	$117.00	$585.00	$450.45	2026-10-01
26705	CPT	Hc Cl Tx Mcp Disloc W Manip W Anesth	42	20	$584.00	$467.20 20% off	$116.80	$584.00	$449.68	2026-10-01
76380	CPT	Hc CT Limited Or Followup Study	42	20	$582.00	$465.60	$116.40	$582.00	$448.14	2026-10-01
11750	CPT	Hc Removal Of Nail Bed	42	20	$580.00	$464.00 20% off	$116.00	$580.00	$446.60	2026-10-01
64405	CPT	Hc Inj Anesth/ster Greater Occipital Nerve	45	20	$572.00	$457.60	$114.40	$572.00	$440.44	2026-10-01
94060	CPT	Hc Bronchospasm Pre & Post Bd	46	20	$582.00	$465.60	$37.78	$582.00	$439.41	2026-10-01
93271	CPT	Hc Ecg/monitor And Analysis Up To 30 Days	42	20	$569.00	$455.20 20% off	$113.80	$569.00	$438.13	2026-10-01
11423	CPT	Hc Exc B9 Les S/n/ex/g 2.1-3.0 Cm	42	20	$568.00	$454.40 20% off	$113.60	$568.00	$437.36	2026-10-01
74400	CPT	Hc Ivp W Wo Tomography Or Kub	42	20	$567.00	$453.60	$113.40	$567.00	$436.59	2026-10-01
74420	CPT	Hc Retrograde Pyelogram W Wo Kub	42	20	$567.00	$453.60	$113.40	$567.00	$436.59	2026-10-01
74430	CPT	Hc Cystogram Min 3 Views	42	20	$567.00	$453.60	$89.32	$567.00	$436.59	2026-10-01
43246	CPT	Pr Ugi Placem Gastrostomy Tube	4	4	$989.00	$791.20	$436.16	$839.59	$436.16	2026-10-01
12052	CPT	Hc Int Rep F/e/n/l/mm 2.6-5.0 Cm	46	20	$562.00	$449.60	$112.40	$635.84	$435.55	2026-10-01
11641	CPT	Hc Exc F/e/e/n/l Mal+marg 0.6-1.0 Cm	42	20	$563.00	$450.40 20% off	$112.60	$563.00	$433.51	2026-10-01
87154	CPT	Hc Culture Type Id Blood Pathgn 6+ Trgt	43	20	$561.60	$449.28 20% off	$112.32	$561.60	$432.43	2026-10-01
0125	RC	—	20	9	$648.00	$518.40 20% off	$130.80	$1,078.00	$432.40	2026-10-01
11442	CPT	Hc Exc Face-mm B9+marg 1.1-2.0 Cm	42	20	$560.00	$448.00 20% off	$112.00	$560.00	$431.20	2026-10-01
43763	CPT	Hc Rplc Gtube W Revisn Trc	42	20	$556.00	$444.80 20% off	$111.20	$556.00	$428.12	2026-10-01
11622	CPT	Hc Exc S/n/h/f/g Mal+mrg 1.1-2.0 Cm	42	20	$550.00	$440.00 20% off	$110.00	$550.00	$423.50	2026-10-01
94660	CPT	Hc Pos Airway Pressure Cpap/bipap Initial	81	20	$1,417.00	$1,133.60 20% off	$82.29	$1,417.00	$423.00	2026-10-01
78014	CPT	Hc Thyroid Imag W/blood Flow Sgl/mult Quan	42	20	$547.00	$437.60	$109.40	$547.00	$421.19	2026-10-01
95816	CPT	Hc EEG Awake & Drowsy	42	20	$547.00	$437.60	$109.40	$547.00	$421.19	2026-10-01
53601	CPT	Hc Dilate Urethr Strictr Subseq	45	20	$543.00	$434.40 20% off	$108.60	$543.00	$418.11	2026-10-01
53600	CPT	Hc Dil Ureth Strict Sound Male Initial	45	20	$543.00	$434.40 20% off	$108.60	$543.00	$418.11	2026-10-01
11602	CPT	Hc Exc Tr-ext Mal+marg 1.1-2.0 Cm	42	20	$543.00	$434.40 20% off	$108.60	$543.00	$418.11	2026-10-01
11640	CPT	Hc Exc F/e/e/n/l Mal+mrg 0.5 Cm/<	42	20	$542.00	$433.60	$108.40	$542.00	$417.34	2026-10-01
93923	CPT	Hc Upr/l Xtremity Art Stdy 3+ Levels	42	20	$537.00	$429.60	$107.40	$537.00	$413.49	2026-10-01
96416	CPT	Hc Chemo Prolong Infuse W/pump	42	20	$532.00	$425.60	$106.40	$532.00	$409.64	2026-10-01
83835	CPT	Hc Metanephrines	42	20	$528.13	$422.50 20% off	$20.33	$528.13	$406.66	2026-10-01
12034	CPT	Hc Int Rep S/a/t/ex 7.6-12.5 Cm	46	20	$520.00	$416.00 20% off	$104.00	$520.00	$403.00	2026-10-01
96365	CPT	Hc Ther/proph/dx IV Inf Init Up To 1hr	46	20	$553.00	$442.40 20% off	$85.41	$553.00	$400.91	2026-10-01
95819	CPT	Hc EEG Awake & Asleep	42	20	$520.00	$416.00 20% off	$104.00	$520.00	$400.40	2026-10-01
87507	CPT	Hc Iadna-dna/rna Probe Tq 12-25	85	20	$800.00	$640.00 20% off	$81.00	$800.00	$400.00	2026-10-01
38221	CPT	Hc Bone Marrow Biopsy	42	20	$519.00	$415.20 20% off	$103.80	$519.00	$399.63	2026-10-01
76942	CPT	Hc US Guided Needle Placement	46	20	$520.00	$416.00 20% off	$92.53	$520.00	$397.80	2026-10-01
11403	CPT	Hc Exc Benign Les T/a/l 2.1-3.0 Cm	46	20	$516.00	$412.80 20% off	$103.20	$903.62	$397.32	2026-10-01
78012	CPT	Hc Thyroid Uptake Measurement	42	20	$515.00	$412.00 20% off	$103.00	$515.00	$396.55	2026-10-01
12007	CPT	Hc Srep S/n/a/g/tr/e >30 Cm	45	20	$515.00	$412.00 20% off	$103.00	$515.00	$396.55	2026-10-01
99284	CPT	Hc Ed Level 4 Visit	82	20	$891.00	$712.80 20% off	$9.20	$891.00	$392.04	2026-10-01
78013	CPT	Hc Thyroid Imag W/blood Flow	42	20	$503.00	$402.40 20% off	$100.60	$503.00	$387.31	2026-10-01
96413	CPT	Hc Chemo, IV Infusion, 1 Hr	42	20	$496.00	$396.80 20% off	$99.20	$496.00	$381.92	2026-10-01
15272	CPT	Hc Skin Sub Graft T/a/l Add 25 Sq Cm	42	20	$492.00	$393.60	$36.83	$492.00	$378.84	2026-10-01
99292	CPT	Hc Critical Care Each Addtl 30 Min	45	20	$492.00	$393.60	$98.40	$1,446.00	$378.84	2026-10-01
93321	CPT	Hc Doppler Echo; Limited/ F-up	43	20	$492.00	$393.60	$54.98	$492.00	$378.84	2026-10-01
93971	CPT	Hc Duplex Ext Veins Unil/limit	42	20	$492.00	$393.60	$98.40	$492.00	$378.84	2026-10-01
15275	CPT	Hc Skin Sub Grft F/nk/hf/g 25 Sq Cm	42	20	$490.00	$392.00 20% off	$98.00	$490.00	$377.30	2026-10-01
Q4196	HCPCS	Hc Puraply Am Per Sq Cm Lvl 11	42	20	$490.00	$392.00 20% off	$98.00	$490.00	$377.30	2026-10-01

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