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 →

Export CSV
Hospital

SANFORD SHELDON MEDICAL CENTER

Sheldon, IA · CCN 161381 · Rates published

Your selected procedure

You selected 93350 (CPT)

ECHO 2D WITH STRESS

This hospital’s price: $1,422 across 15 payers · range $756-$2,389

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8369/460388596_sanford-sheldon-medical-center_standardcharges.csv · observed 2026-03-04

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.

2,556 distinct procedures filed
15 distinct payers
137,228 rate rows
2026-03-04 last MRF observed
Data quality

137,035 of 137,228 rate rows are consumer-grade (99.9%)

193 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
percent-of-charges filed in the dollar field — excluded from medians 101
per-diem day rate — not a per-procedure price 48
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 43
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8369/460388596_sanford-sheldon-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordSheldonMedicalCenter/8369
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 787097935f20ce47… · 101,545,624 bytes · first seen 2026-05-09

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
250
EAPG 		Cochlear Device Implantation 1 $72,297.65 $79,459.66 $75,878.65 nat. median
$26,313
outlier · 2.9×
3060
EAPG 		Ventricular Assist Device Procedures 1 $69,850.48 $76,770.07 $73,310.27 nat. median
$24,294
outlier · 3.0×
224
EAPG 		Level Ii Neurostimulator And Related Device Implantation 1 $59,892.97 $65,826.14 $62,859.56 nat. median
$20,112
outlier · 3.1×
97
EAPG 		Aicd And Related Cardiac Device Insertion Or Replacement 1 $51,714.06 $56,837.01 $54,275.54 nat. median
$26,601
outlier · 2.0×
182
EAPG 		Insertion Of Penile Prosthesis 1 $43,748.06 $48,081.87 $45,914.96 nat. median
$13,452
outlier · 3.4×
104
EAPG 		Major Open Coronary Artery Procedures Including Cabg 1 $36,703.85 $40,339.84 $38,521.85 nat. median
$18,228
outlier · 2.1×
55
EAPG 		Level Ii Hip And Femur Procedures 1 $33,745.73 $37,088.68 $35,417.21 nat. median
$13,642
outlier · 2.6×
122
EAPG 		Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures 1 $32,493.01 $35,711.86 $34,102.43 nat. median
$14,643
outlier · 2.3×
3030
EAPG 		Spinal Implantation Of Drug Infusion Device 1 $32,421.29 $35,633.04 $34,027.17 nat. median
$9,458
outlier · 3.6×
82
EAPG 		Comprehensive Cardiac Electrophysiologic Procedures With Ablation 1 $31,232.07 $34,326.01 $32,779.04 nat. median
$15,436
outlier · 2.1×
3051
EAPG 		Heart And/or Lung Transplant 1 $29,430.31 $32,345.76 $30,888.03 nat. median
$9,937
outlier · 3.1×
47
EAPG 		Level Ii Arthroplasty 1 $26,955.50 $29,625.79 $28,290.65 nat. median
$8,160
outlier · 3.5×
105
EAPG 		Major Open Cardiac And Cardiac Valve Procedures 1 $26,887.52 $29,551.07 $28,219.29 nat. median
$11,224
outlier · 2.5×
337
EAPG 		Class Iii Brachytherapy Sources 1 $26,368.35 $28,980.48 $27,674.42 nat. median
$13,949
2.0× median
265
EAPG 		Percutaneous Intracranial And Extracranial Vascular Procedures 1 $25,093.22 $27,579.03 $26,336.12 nat. median
$12,092
outlier · 2.2×
57
EAPG 		Level Iii Spine Procedures 1 $24,429.14 $26,849.16 $25,639.15 nat. median
$16,442
1.6× median
J2350
HCPCS 		Ocrelizumab Soln For IV Infusion 300 Mg/10ml 15 $60.94 $32,101.92 $23,541.41 nat. median
$470
outlier · 50.1×
121
EAPG 		Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures 1 $20,254.16 $22,260.59 $21,257.38 nat. median
$12,166
1.7× median
106
EAPG 		Major Open Abdominal And Thoracic Vascular Procedures 1 $19,498.94 $21,430.56 $20,464.75 nat. median
$9,781
outlier · 2.1×
58
EAPG 		Level Ii Shoulder And Upper Arm Procedures 1 $19,484.75 $21,414.96 $20,449.85 nat. median
$8,792
outlier · 2.3×
86
EAPG 		Pacemaker And Other Cardiovascular Device Insertion And Replacement 1 $18,245.48 $20,052.93 $19,149.21 nat. median
$7,861
outlier · 2.4×
3070
EAPG 		Extracorporeal Membrane Oxygenation (ecmo) Procedures 1 $18,149.86 $19,947.84 $19,048.85 nat. median
$6,128
outlier · 3.1×
3052
EAPG 		Kidney Transplant 1 $17,492.50 $19,225.36 $18,358.93 nat. median
$5,906
outlier · 3.1×
96
EAPG 		Cardiac Electrophysiologic Procedures Including Pacing And Recording 1 $16,926.27 $18,603.04 $17,764.65 nat. median
$5,251
outlier · 3.4×
29
EAPG 		Level Ii Spine Procedures 1 $16,280.12 $17,892.87 $17,086.49 nat. median
$9,683
1.8× median
99
EAPG 		Level I Percutaneous Coronary And Intracardiac Interventional Procedures 1 $16,203.18 $17,808.31 $17,005.75 nat. median
$7,784
outlier · 2.2×
3011
EAPG 		Bone Conduction Hearing Device Implantation 1 $15,887.94 $17,461.85 $16,674.90 nat. median
$6,768
outlier · 2.5×
73
EAPG 		Diaphragmatic Procedures And Related Hernia Repair 1 $15,530.13 $17,068.59 $16,299.36 nat. median
$6,174
outlier · 2.6×
87
EAPG 		Removal Or Revision Of Pacemakers And Other Cardiovascular Devices 1 $15,305.28 $16,821.47 $16,063.38 nat. median
$6,058
outlier · 2.7×
267
EAPG 		Other Craniotomy Procedures Including Cranioplasty 1 $14,429.80 $15,859.26 $15,144.53 nat. median
$6,523
outlier · 2.3×
172
EAPG 		Level Iii Kidney And Ureteral Procedures 1 $14,399.17 $15,825.60 $15,112.39 nat. median
$5,855
outlier · 2.6×
38
EAPG 		Level Ii Arthroscopy 1 $13,708.20 $15,066.17 $14,387.19 nat. median
$5,298
outlier · 2.7×
268
EAPG 		Cranial And Spinal Shunt Procedures 1 $13,555.81 $14,898.69 $14,227.25 nat. median
$6,563
outlier · 2.2×
52
EAPG 		Level Ii Knee And Lower Leg Procedures 1 $13,514.72 $14,853.53 $14,184.12 nat. median
$5,931
outlier · 2.4×
228
EAPG 		Level Ii Craniofacial Bone Procedures 1 $13,159.90 $14,463.56 $13,811.73 nat. median
$5,517
outlier · 2.5×
223
EAPG 		Level I Neurostimulator And Related Device Implantation 1 $13,114.33 $14,413.48 $13,763.90 nat. median
$5,769
outlier · 2.4×
154
EAPG 		Level Iii Upper Gi Endoscopy 1 $13,049.34 $14,342.05 $13,695.69 nat. median
$4,196
outlier · 3.3×
3050
EAPG 		Other Transplant Procedures 1 $12,919.37 $14,199.20 $13,559.28 nat. median
$4,165
outlier · 3.3×
276
EAPG 		Procedures For Revision Or Removal Of Neurostimulator Devices 1 $12,828.98 $14,099.85 $13,464.42 nat. median
$3,154
outlier · 4.3×
36
EAPG 		Level Ii Foot Procedures 1 $12,753.53 $14,016.93 $13,385.23 nat. median
$4,784
outlier · 2.8×
70
EAPG 		Level Ii Thoracic And Chest Procedures 1 $12,752.04 $14,015.29 $13,383.67 nat. median
$4,389
outlier · 3.0×
152
EAPG 		Level Ii Hepatobiliary And Pancreas Procedures 1 $12,358.37 $13,582.62 $12,970.50 nat. median
$5,387
outlier · 2.4×
206
EAPG 		Level Ii Hysterectomy And Myomectomy Procedures 1 $12,284.42 $13,501.35 $12,892.89 nat. median
$5,046
outlier · 2.6×
123
EAPG 		Peripheral Vascular Bypass Procedures 1 $12,182.82 $13,389.69 $12,786.26 nat. median
$4,740
outlier · 2.7×
22
EAPG 		Level Ii Mastectomy And Reconstructive Breast Procedures 1 $11,987.86 $13,175.41 $12,581.64 nat. median
$6,169
outlier · 2.0×
129
EAPG 		Esophagogastric Restrictive Procedures And Gastric Fundoplication 1 $11,848.17 $13,021.88 $12,435.02 nat. median
$5,978
outlier · 2.1×
346
EAPG 		Radiosurgery 1 $11,641.25 $12,794.46 $12,217.85 nat. median
$5,639
outlier · 2.2×
175
EAPG 		Level Iii Bladder And Ureteral Procedures 1 $11,429.10 $12,561.30 $11,995.20 nat. median
$6,997
1.7× median
266
EAPG 		Open Intracranial And Extracranial Vascular Procedures 1 $11,137.77 $12,241.11 $11,689.44 nat. median
$4,890
outlier · 2.4×
167
EAPG 		Level Ii Urethral Procedures 1 $10,774.73 $11,842.10 $11,308.42 nat. median
$4,871
outlier · 2.3×

Other procedures at this hospital

Browse this hospital's 2,556 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
             
250 EAPG Cochlear Device Implantation 2 1 — — $72,297.65 $79,459.66 $75,878.65 2026-03-04
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $69,850.48 $76,770.07 $73,310.27 2026-03-04
224 EAPG Level Ii Neurostimulator And Related Device Implantation 2 1 — — $59,892.97 $65,826.14 $62,859.56 2026-03-04
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 2 1 — — $51,714.06 $56,837.01 $54,275.54 2026-03-04
182 EAPG Insertion Of Penile Prosthesis 2 1 — — $43,748.06 $48,081.87 $45,914.96 2026-03-04
104 EAPG Major Open Coronary Artery Procedures Including Cabg 2 1 — — $36,703.85 $40,339.84 $38,521.85 2026-03-04
55 EAPG Level Ii Hip And Femur Procedures 2 1 — — $33,745.73 $37,088.68 $35,417.21 2026-03-04
122 EAPG Percutaneous Intra-abdominal Or Intrathoracic Vascular Procedures 2 1 — — $32,493.01 $35,711.86 $34,102.43 2026-03-04
3030 EAPG Spinal Implantation Of Drug Infusion Device 2 1 — — $32,421.29 $35,633.04 $34,027.17 2026-03-04
82 EAPG Comprehensive Cardiac Electrophysiologic Procedures With Ablation 2 1 — — $31,232.07 $34,326.01 $32,779.04 2026-03-04
3051 EAPG Heart And/or Lung Transplant 2 1 — — $29,430.31 $32,345.76 $30,888.03 2026-03-04
47 EAPG Level Ii Arthroplasty 2 1 — — $26,955.50 $29,625.79 $28,290.65 2026-03-04
105 EAPG Major Open Cardiac And Cardiac Valve Procedures 2 1 — — $26,887.52 $29,551.07 $28,219.29 2026-03-04
337 EAPG Class Iii Brachytherapy Sources 2 1 — — $26,368.35 $28,980.48 $27,674.42 2026-03-04
265 EAPG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $25,093.22 $27,579.03 $26,336.12 2026-03-04
57 EAPG Level Iii Spine Procedures 2 1 — — $24,429.14 $26,849.16 $25,639.15 2026-03-04
J2350 HCPCS Ocrelizumab Soln For IV Infusion 300 Mg/10ml 35 15 $35,668.80 $28,535.04 20% off $60.94 $32,101.92 $23,541.41 2026-03-04
121 EAPG Level Ii Percutaneous Coronary And Intracardiac Interventional Procedures 2 1 — — $20,254.16 $22,260.59 $21,257.38 2026-03-04
106 EAPG Major Open Abdominal And Thoracic Vascular Procedures 2 1 — — $19,498.94 $21,430.56 $20,464.75 2026-03-04
58 EAPG Level Ii Shoulder And Upper Arm Procedures 2 1 — — $19,484.75 $21,414.96 $20,449.85 2026-03-04
86 EAPG Pacemaker And Other Cardiovascular Device Insertion And Replacement 2 1 — — $18,245.48 $20,052.93 $19,149.21 2026-03-04
3070 EAPG Extracorporeal Membrane Oxygenation (ecmo) Procedures 2 1 — — $18,149.86 $19,947.84 $19,048.85 2026-03-04
3052 EAPG Kidney Transplant 2 1 — — $17,492.50 $19,225.36 $18,358.93 2026-03-04
96 EAPG Cardiac Electrophysiologic Procedures Including Pacing And Recording 2 1 — — $16,926.27 $18,603.04 $17,764.65 2026-03-04
29 EAPG Level Ii Spine Procedures 2 1 — — $16,280.12 $17,892.87 $17,086.49 2026-03-04
99 EAPG Level I Percutaneous Coronary And Intracardiac Interventional Procedures 2 1 — — $16,203.18 $17,808.31 $17,005.75 2026-03-04
3011 EAPG Bone Conduction Hearing Device Implantation 2 1 — — $15,887.94 $17,461.85 $16,674.90 2026-03-04
73 EAPG Diaphragmatic Procedures And Related Hernia Repair 2 1 — — $15,530.13 $17,068.59 $16,299.36 2026-03-04
87 EAPG Removal Or Revision Of Pacemakers And Other Cardiovascular Devices 2 1 — — $15,305.28 $16,821.47 $16,063.38 2026-03-04
267 EAPG Other Craniotomy Procedures Including Cranioplasty 2 1 — — $14,429.80 $15,859.26 $15,144.53 2026-03-04
172 EAPG Level Iii Kidney And Ureteral Procedures 2 1 — — $14,399.17 $15,825.60 $15,112.39 2026-03-04
38 EAPG Level Ii Arthroscopy 2 1 — — $13,708.20 $15,066.17 $14,387.19 2026-03-04
268 EAPG Cranial And Spinal Shunt Procedures 2 1 — — $13,555.81 $14,898.69 $14,227.25 2026-03-04
52 EAPG Level Ii Knee And Lower Leg Procedures 2 1 — — $13,514.72 $14,853.53 $14,184.12 2026-03-04
228 EAPG Level Ii Craniofacial Bone Procedures 2 1 — — $13,159.90 $14,463.56 $13,811.73 2026-03-04
223 EAPG Level I Neurostimulator And Related Device Implantation 2 1 — — $13,114.33 $14,413.48 $13,763.90 2026-03-04
154 EAPG Level Iii Upper Gi Endoscopy 2 1 — — $13,049.34 $14,342.05 $13,695.69 2026-03-04
3050 EAPG Other Transplant Procedures 2 1 — — $12,919.37 $14,199.20 $13,559.28 2026-03-04
276 EAPG Procedures For Revision Or Removal Of Neurostimulator Devices 2 1 — — $12,828.98 $14,099.85 $13,464.42 2026-03-04
36 EAPG Level Ii Foot Procedures 2 1 — — $12,753.53 $14,016.93 $13,385.23 2026-03-04
70 EAPG Level Ii Thoracic And Chest Procedures 2 1 — — $12,752.04 $14,015.29 $13,383.67 2026-03-04
152 EAPG Level Ii Hepatobiliary And Pancreas Procedures 2 1 — — $12,358.37 $13,582.62 $12,970.50 2026-03-04
206 EAPG Level Ii Hysterectomy And Myomectomy Procedures 2 1 — — $12,284.42 $13,501.35 $12,892.89 2026-03-04
123 EAPG Peripheral Vascular Bypass Procedures 2 1 — — $12,182.82 $13,389.69 $12,786.26 2026-03-04
22 EAPG Level Ii Mastectomy And Reconstructive Breast Procedures 2 1 — — $11,987.86 $13,175.41 $12,581.64 2026-03-04
129 EAPG Esophagogastric Restrictive Procedures And Gastric Fundoplication 2 1 — — $11,848.17 $13,021.88 $12,435.02 2026-03-04
346 EAPG Radiosurgery 2 1 — — $11,641.25 $12,794.46 $12,217.85 2026-03-04
175 EAPG Level Iii Bladder And Ureteral Procedures 2 1 — — $11,429.10 $12,561.30 $11,995.20 2026-03-04
266 EAPG Open Intracranial And Extracranial Vascular Procedures 2 1 — — $11,137.77 $12,241.11 $11,689.44 2026-03-04
167 EAPG Level Ii Urethral Procedures 2 1 — — $10,774.73 $11,842.10 $11,308.42 2026-03-04
85 EAPG Level Iii Peripheral Endovascular And Transcatheter Procedures 2 1 — — $10,749.33 $11,814.19 $11,281.76 2026-03-04
189 EAPG Level Ii Perineal And Vaginal Gynecological Procedures 2 1 — — $10,715.72 $11,777.25 $11,246.49 2026-03-04
126 EAPG Level Ii Esophageal And Gastric Surgical Procedures 2 1 — — $10,601.42 $11,651.63 $11,126.52 2026-03-04
43 EAPG Open Or Percutaneous Treatment Of Fractures 2 1 — — $10,472.94 $11,510.42 $10,991.68 2026-03-04
J2323 HCPCS Natalizumab For IV Inj Conc 300 Mg/15ml 35 15 $16,493.70 $13,194.96 20% off $24.60 $14,844.33 $10,885.84 2026-03-04
125 EAPG Level I Esophageal And Gastric Surgical Procedures 2 1 — — $10,126.33 $11,129.48 $10,627.90 2026-03-04
24 EAPG Level Ii Forearm And Wrist Procedures 2 1 — — $10,006.07 $10,997.30 $10,501.68 2026-03-04
25 EAPG Level I Shoulder And Upper Arm Procedures 2 1 — — $9,972.45 $10,960.35 $10,466.40 2026-03-04
235 EAPG Level Ii Anterior Chamber Eye Procedures 2 1 — — $9,749.10 $10,714.87 $10,231.99 2026-03-04
238 EAPG Level Ii Intravitreal, Retinal And Other Posterior Chamber Eye Procedures 2 1 — — $9,641.53 $10,596.65 $10,119.09 2026-03-04
153 EAPG Level Ii Ercp And Related Endoscopic Procedures 2 1 — — $9,387.55 $10,317.51 $9,852.53 2026-03-04
263 EAPG Thyroid And Parathyroid Procedures 2 1 — — $9,220.22 $10,133.60 $9,676.91 2026-03-04
264 EAPG Major Craniotomy And Craniectomy Surgical Procedures 2 1 — — $9,203.79 $10,115.54 $9,659.67 2026-03-04
184 EAPG Level Ii Prostate Procedures 2 1 — — $9,024.51 $9,918.50 $9,471.51 2026-03-04
280 EAPG Level Iii Vascular Radiological Procedures 2 1 — — $8,906.48 $9,788.78 $9,347.63 2026-03-04
58661 CPT Surg 58661 Laparoscopy W Removal Adnexal Structures 35 15 $14,163.00 $11,330.40 20% off $4,036.46 $12,746.70 $9,347.58 2026-03-04
46 EAPG Level I Arthroplasty 2 1 — — $8,856.43 $9,733.78 $9,295.10 2026-03-04
3035 EAPG Abdominal Hernia Repair 2 1 — — $8,622.62 $9,476.80 $9,049.71 2026-03-04
107 EAPG Cholecystectomy And Related Biliary Procedures 2 1 — — $8,601.71 $9,453.82 $9,027.76 2026-03-04
91 EAPG Level Ii Peripheral Vascular Repair, Ligation Or Reconstruction 2 1 — — $8,551.66 $9,398.81 $8,975.24 2026-03-04
255 EAPG Level IV Ear, Nose, Mouth And Throat Procedures 2 1 — — $8,472.47 $9,311.78 $8,892.12 2026-03-04
225 EAPG Other Intracranial Neurosurgery Procedures 2 1 — — $8,383.58 $9,214.08 $8,798.83 2026-03-04
79 EAPG Level Ii Peripheral Endovascular And Transcatheter Procedures 2 1 — — $8,343.99 $9,170.57 $8,757.28 2026-03-04
J3380 HCPCS Vedolizumab For IV Solution 300 Mg 36 15 $13,530.60 $10,824.48 20% off $22.69 $12,177.54 $8,729.27 2026-03-04
128 EAPG Level Ii Small And Large Intestine Surgical Procedures 2 1 — — $8,293.94 $9,115.56 $8,704.75 2026-03-04
28 EAPG Level I Spine Procedures 2 1 — — $8,203.55 $9,016.22 $8,609.88 2026-03-04
3033 EAPG Inguinal, Femoral And Umbilical Hernia Repair 2 1 — — $8,196.08 $9,008.01 $8,602.05 2026-03-04
21 EAPG Level I Mastectomy And Reconstructive Breast Procedures 2 1 — — $8,021.29 $8,815.90 $8,418.59 2026-03-04
J3101 HCPCS Tenecteplase For IV Soln Kit 50 Mg 60 15 $12,147.00 $9,717.60 20% off $3,461.90 $13,912.31 $8,392.22 2026-03-04
174 EAPG Level Ii Bladder And Ureteral Procedures 2 1 — — $7,847.98 $8,625.43 $8,236.70 2026-03-04
166 EAPG Level I Urethral Procedures 2 1 — — $7,640.32 $8,397.19 $8,018.76 2026-03-04
77 EAPG Level I Peripheral Endovascular And Transcatheter Procedures 2 1 — — $7,585.79 $8,337.26 $7,961.52 2026-03-04
204 EAPG Level I Hysterectomy And Myomectomy Procedures 2 1 — — $7,427.42 $8,163.20 $7,795.31 2026-03-04
27 EAPG Level I Hip And Femur Procedures 2 1 — — $7,245.15 $7,962.88 $7,604.01 2026-03-04
208 EAPG Level Ii Other Uterine And Adnexa Gynecological Procedures 2 1 — — $7,229.47 $7,945.64 $7,587.56 2026-03-04
254 EAPG Level Iii Ear, Nose, Mouth And Throat Procedures 2 1 — — $7,115.18 $7,820.03 $7,467.60 2026-03-04
26 EAPG Level I Knee And Lower Leg Procedures 2 1 — — $6,896.30 $7,579.47 $7,237.89 2026-03-04
108 EAPG Other Intra-abdominal And Intraperitoneal Surgical Procedures 2 1 — — $6,869.41 $7,549.92 $7,209.66 2026-03-04
179 EAPG Ectopic Pregnancy Procedures 2 1 — — $6,706.57 $7,370.94 $7,038.75 2026-03-04
248 EAPG Level Ii Corneal And Other Anterior Surface Eye Procedures 2 1 — — $6,570.61 $7,221.52 $6,896.07 2026-03-04
241 EAPG Ocular Reconstructive Procedures W Or Without Ocular Device 2 1 — — $6,510.85 $7,155.84 $6,833.35 2026-03-04
218 EAPG Level Ii Peripheral Nerve Procedures 2 1 — — $6,406.27 $7,040.90 $6,723.59 2026-03-04
J0517 HCPCS Benralizumab Subcutaneous Soln Prefilled Syringe 30 Mg/ml 60 15 $10,061.58 $8,049.27 $170.48 $9,699.08 $6,491.23 2026-03-04
171 EAPG Level Ii Kidney And Ureteral Procedures 2 1 — — $6,173.96 $6,785.57 $6,479.76 2026-03-04
J9299 HCPCS Nivolumab IV Soln 240 Mg/24ml 35 15 $9,817.41 $7,853.93 $38.06 $8,835.67 $6,479.49 2026-03-04
336 EAPG Class Ii Brachytherapy Sources 2 1 — — $6,147.06 $6,756.01 $6,451.53 2026-03-04
202 EAPG Cesarean Delivery Procedures 2 1 — — $6,046.97 $6,646.00 $6,346.49 2026-03-04
485 EAPG Corneal Tissue Processing 2 1 — — $6,043.23 $6,641.89 $6,342.56 2026-03-04
127 EAPG Level I Small And Large Intestine Surgical Procedures 2 1 — — $6,016.34 $6,612.33 $6,314.34 2026-03-04
34 EAPG Level Ii Hand Procedures 2 1 — — $5,953.59 $6,543.37 $6,248.48 2026-03-04
187 EAPG Level Ii Penile Procedures 2 1 — — $5,852.75 $6,432.54 $6,142.65 2026-03-04
369 EAPG Level Iii Oral Surgery Procedures 2 1 — — $5,782.53 $6,355.36 $6,068.94 2026-03-04
103 EAPG Level Ii Varicose Vein And Related Procedures 2 1 — — $5,736.96 $6,305.28 $6,021.12 2026-03-04
207 EAPG Level I Other Uterine And Adnexa Gynecological Procedures 2 1 — — $5,639.85 $6,198.55 $5,919.20 2026-03-04
155 EAPG Level Iii Blood Product Exchange Services 2 1 — — $5,636.86 $6,195.27 $5,916.07 2026-03-04
227 EAPG Level I Craniofacial Bone Procedures 2 1 — — $5,602.50 $6,157.50 $5,880.00 2026-03-04
262 EAPG Cleft Lip And Palate Repair 2 1 — — $5,591.30 $6,145.19 $5,868.24 2026-03-04
59 EAPG Arteriovenous Fistula Creation Or Revision For Hemodialysis 2 1 — — $5,527.05 $6,074.58 $5,800.82 2026-03-04
33210 CPT Ed 33210 Insert/replace Lead Temporary Single Chamber 35 15 $8,703.00 $6,962.40 20% off $2,480.36 $7,832.70 $5,743.98 2026-03-04
195 EAPG Vaginal Delivery Procedures 2 1 — — $5,467.29 $6,008.90 $5,738.09 2026-03-04
J2353 HCPCS Octreotide Acetate For IM Inj Kit 20 Mg 60 15 $7,917.96 $6,334.37 $2,256.62 $10,351.42 $5,542.57 2026-03-04
138 EAPG Level I Ercp And Related Endoscopic Procedures 2 1 — — $5,276.81 $5,799.54 $5,538.18 2026-03-04
368 EAPG Level Ii Oral Surgery Procedures 2 1 — — $5,257.39 $5,778.20 $5,517.80 2026-03-04
Q5127 HCPCS Pegfilgrastim-fpgk Soln Prefilled Syringe 6 Mg/0.6ml 35 15 $8,270.20 $6,616.16 20% off $311.44 $7,443.18 $5,458.33 2026-03-04
72 EAPG Tracheostomy And Related Tracheal Procedures 2 1 — — $5,146.08 $5,655.87 $5,400.98 2026-03-04
11770 CPT Surg 11770 Exc Pilonidal Cyst Sinus Smpl 35 15 $8,162.00 $6,529.60 $2,326.17 $7,345.80 $5,386.92 2026-03-04
J2506 HCPCS Pegfilgrastim Soln Prefilled Syringe 6 Mg/0.6ml 60 15 $9,916.72 $7,933.38 $31.73 $8,925.05 $5,317.20 2026-03-04
35 EAPG Level I Foot Procedures 2 1 — — $5,028.80 $5,526.97 $5,277.89 2026-03-04
11 EAPG Level Iii Skin Excisions, Biopsies, And Repairs 2 1 — — $5,020.59 $5,517.94 $5,269.26 2026-03-04
37 EAPG Level I Arthroscopy 2 1 — — $5,008.64 $5,504.81 $5,256.73 2026-03-04
84 EAPG Cardiac Catheterization Procedures 2 1 — — $4,901.07 $5,386.58 $5,143.82 2026-03-04
J0225 HCPCS Inj, Vutrisiran, 1 Mg 2 1 — — $5,018.93 $5,018.93 $5,018.93 2026-03-04
J9271 HCPCS Pembrolizumab IV Soln 100 Mg/4ml (25 Mg/ml) 60 15 $8,018.48 $6,414.79 $69.76 $7,216.63 $5,009.66 2026-03-04
115 EAPG Deep Lymph Structure Procedures 2 1 — — $4,745.69 $5,215.81 $4,980.75 2026-03-04
71 EAPG Level Ii Lower Airway Endoscopy 2 1 — — $4,720.29 $5,187.90 $4,954.09 2026-03-04
83 EAPG Level Ii Central Venous Access Procedures 2 1 — — $4,688.92 $5,153.42 $4,921.17 2026-03-04
142 EAPG Level Ii Anal And Rectal Procedures 2 1 — — $4,505.16 $4,951.45 $4,728.31 2026-03-04
27372 CPT Ed 27372 Remove Fb Thigh Knee Deep 35 15 $7,026.00 $5,620.80 20% off $2,002.41 $6,323.40 $4,637.16 2026-03-04
239 EAPG Extraocular Muscle Procedures 2 1 — — $4,384.89 $4,819.27 $4,602.08 2026-03-04
233 EAPG Cataract And Other Introcular Lens Procedures 2 1 — — $4,355.01 $4,786.43 $4,570.72 2026-03-04
Q5111 HCPCS Pegfilgrastim-cbqv Soln Prefilled Syringe 6 Mg/0.6ml 35 15 $6,891.74 $5,513.40 $146.06 $6,202.57 $4,548.55 2026-03-04
135 EAPG Level Ii Upper Gi Endoscopy 2 1 — — $4,284.05 $4,708.44 $4,496.24 2026-03-04
54 EAPG Fixation Device Insertion Or Replacement Procedures 2 1 — — $4,249.68 $4,670.67 $4,460.18 2026-03-04
23 EAPG Level I Forearm And Wrist Procedures 2 1 — — $4,214.57 $4,632.08 $4,423.32 2026-03-04
36558 CPT Surg 36558 Ins Tun Cva >5 35 15 $6,688.00 $5,350.40 20% off $1,906.08 $6,019.20 $4,414.08 2026-03-04
78 EAPG Level I Peripheral Vascular Repair, Ligation Or Reconstruction 2 1 — — $4,176.48 $4,590.21 $4,383.34 2026-03-04
J1306 HCPCS Inclisiran Sodium Subcutaneous Soln Pref Syr 284 Mg/1.5ml 35 15 $6,575.19 $5,260.16 $1,873.93 $5,917.67 $4,339.63 2026-03-04
74178 CPT CT Abd Pelvis Wo Then W Cont 35 15 $6,561.00 $5,248.80 20% off $916.89 $5,904.90 $4,330.26 2026-03-04
A9548 HCPCS In111pentetate Per 0.5 Mci 35 15 $6,468.00 $5,174.40 20% off $1,843.38 $5,821.20 $4,268.88 2026-03-04
20100 CPT Ed 20100 Explore Penetrating Wound Neck 35 15 $6,445.00 $5,156.00 20% off $1,836.83 $5,800.50 $4,253.70 2026-03-04
46250 CPT Surg 46250 Hemorrhoidectomy Xtrnl 2/> Column/group 35 15 $6,413.00 $5,130.40 20% off $1,827.71 $5,771.70 $4,232.58 2026-03-04
178 EAPG Antepartum Procedures 2 1 — — $4,031.56 $4,430.94 $4,231.25 2026-03-04
253 EAPG Level Ii Ear, Nose, Mouth And Throat Procedures 2 1 — — $4,006.16 $4,403.02 $4,204.59 2026-03-04
69 EAPG Level I Thoracic And Chest Procedures 2 1 — — $3,994.21 $4,389.89 $4,192.05 2026-03-04
74174 CPT CTA Abd Pelvis W Contrast+wo If Perform 35 15 $6,238.00 $4,990.40 20% off $753.67 $5,614.20 $4,117.08 2026-03-04
11005 CPT Tx Rm 11005 Debride Skin/subq/muscle Necrotiz Abdominal Wall 35 15 $6,208.00 $4,966.40 20% off $1,769.28 $5,587.20 $4,097.28 2026-03-04
35206 CPT Ed 35206 Rpr Bld Vesl Dir Uppr Extr 35 15 $6,174.00 $4,939.20 20% off $1,759.59 $5,556.60 $4,074.84 2026-03-04
J2182 HCPCS Mepolizumab For Inj 100 Mg 35 15 $6,154.52 $4,923.62 $31.01 $5,539.07 $4,061.98 2026-03-04
37609 CPT Surg 37609 Ligation/biopsy Temporal Artery 35 15 $6,147.00 $4,917.60 $1,751.90 $5,532.30 $4,057.02 2026-03-04
27301 CPT Tx Rm 27301 I&d Abcess Hematoma Thigh Knee 35 15 $6,071.00 $4,856.80 20% off $1,730.24 $5,463.90 $4,006.86 2026-03-04
188 EAPG Level I Perineal And Vaginal Gynecological Procedures 2 1 — — $3,785.80 $4,160.83 $3,973.32 2026-03-04
78452 CPT Nm Myocardial Spect Mult Stdy 36 15 $5,750.00 $4,600.00 20% off $1,638.75 $5,175.00 $3,910.00 2026-03-04
63 EAPG Level Ii Endoscopy Of The Upper Airway 2 1 — — $3,671.51 $4,035.22 $3,853.36 2026-03-04
367 EAPG Level I Oral Surgery Procedures 2 1 — — $3,670.76 $4,034.39 $3,852.57 2026-03-04
256 EAPG Tonsil And Adenoid Procedures 2 1 — — $3,623.70 $3,982.67 $3,803.18 2026-03-04
141 EAPG Level I Anal And Rectal Procedures 2 1 — — $3,614.73 $3,972.82 $3,793.78 2026-03-04
20102 CPT Ed 20102 Explore Penetrating Wound Abdomen/back/flank 35 15 $5,706.00 $4,564.80 $1,626.21 $5,135.40 $3,765.96 2026-03-04
72157 CPT MRI T Spine Wo Then W Cont 36 15 $5,532.00 $4,425.60 $837.03 $4,978.80 $3,761.76 2026-03-04
290 EAPG PET Scans 2 1 — — $3,584.11 $3,939.16 $3,761.64 2026-03-04
51 EAPG Musculoskeletal Excisions, Biopsies, And Drainage Procedures 2 1 — — $3,566.18 $3,919.45 $3,742.81 2026-03-04
70553 CPT MRI Brain Wo Then W Cont 35 15 $5,618.00 $4,494.40 20% off $1,013.16 $5,056.20 $3,707.88 2026-03-04
11426 CPT Surg 11426 Exc Bngn Lsn S/n/h/f/g >4.0 Cm 35 15 $5,593.00 $4,474.40 20% off $1,594.01 $5,033.70 $3,691.38 2026-03-04
74177 CPT CT Abd Pelvis W Contrast 37 15 $5,586.00 $4,468.80 $832.37 $5,027.40 $3,686.76 2026-03-04
137 EAPG Level Ii Lower Gi Endoscopy 2 1 — — $3,502.68 $3,849.67 $3,676.18 2026-03-04
18 EAPG Complex Wound Repair And Treatment 2 1 — — $3,498.20 $3,844.74 $3,671.47 2026-03-04
72156 CPT MRI C Spine Wo Then W Cont 35 15 $5,557.00 $4,445.60 $558.02 $5,001.30 $3,667.62 2026-03-04
95811 CPT Sleep Study Splt Nght 95811 62 15 $5,773.00 $4,618.40 20% off $1,597.14 $5,195.70 $3,638.72 2026-03-04
205 EAPG Obstetrical Procedures 2 1 — — $3,453.38 $3,795.48 $3,624.43 2026-03-04
217 EAPG Level I Peripheral Nerve Procedures 2 1 — — $3,409.31 $3,747.04 $3,578.18 2026-03-04
72158 CPT MRI L Spine Wo Then W Cont 35 15 $5,408.00 $4,326.40 20% off $1,090.29 $4,867.20 $3,569.28 2026-03-04
70543 CPT MRI Face Neck Orb Wo Then W Cont 35 15 $5,388.00 $4,310.40 20% off $1,116.05 $4,849.20 $3,556.08 2026-03-04
27599 CPT Ed 27599 Femur/knee Unlisted Procedure 35 15 $5,387.00 $4,309.60 $1,535.30 $4,848.30 $3,555.42 2026-03-04
J2507 HCPCS Pegloticase Injection 2 1 — — $3,547.84 $3,547.84 $3,547.84 2026-03-04
194 EAPG Abortion And Miscarriage Treatment And Procedures 2 1 — — $3,375.69 $3,710.10 $3,542.89 2026-03-04
382 EAPG Level Ii Dental Implants 2 1 — — $3,329.38 $3,659.20 $3,494.29 2026-03-04
10121 CPT Ed 10121 Inc&remv Fb Compl 35 15 $5,274.00 $4,219.20 20% off $1,503.09 $4,746.60 $3,480.84 2026-03-04
95810 CPT Psg 4+ Parameters 35 15 $5,270.00 $4,216.00 20% off $1,501.95 $4,743.00 $3,478.20 2026-03-04
183 EAPG Level I Penile Procedures 2 1 — — $3,304.73 $3,632.10 $3,468.41 2026-03-04
62 EAPG Level I Endoscopy Of The Upper Airway 2 1 — — $3,298.75 $3,625.54 $3,462.14 2026-03-04
56 EAPG Skin And Connective Tissue Grafting And Flap Procedures 2 1 — — $3,284.56 $3,609.94 $3,447.25 2026-03-04
74183 CPT MRI Abdomen Wo Then W Cont 35 15 $5,194.00 $4,155.20 20% off $1,013.16 $4,674.60 $3,428.04 2026-03-04
J1950 HCPCS Leuprolide Acetate (3 Month) For Inj Pediatric Kit 11.25 Mg 88 15 $4,122.12 $3,297.70 $522.10 $19,757.70 $3,421.36 2026-03-04
J0717 HCPCS Certolizumab Pegol Prefilled Syringe Kit 200 Mg/ml 60 15 $11,060.14 $8,848.12 $4.73 $9,954.13 $3,417.58 2026-03-04
Q5117 HCPCS Trastuzumab-anns For IV Soln 420 Mg 35 15 $5,176.97 $4,141.58 $29.15 $4,659.27 $3,416.80 2026-03-04
72197 CPT MRI Pelvis Wo Then W Cont 35 15 $5,173.00 $4,138.40 20% off $1,013.16 $4,655.70 $3,414.18 2026-03-04
67 EAPG Ventilation Assistance And Management 2 1 — — $3,244.97 $3,566.42 $3,405.69 2026-03-04
151 EAPG Level I Hepatobiliary And Pancreas Procedures 2 1 — — $3,211.35 $3,529.48 $3,370.41 2026-03-04
73723 CPT MRI Lower Ext Jt Wo Then W Cont 35 15 $5,087.00 $4,069.60 20% off $1,090.29 $4,578.30 $3,357.42 2026-03-04
71552 CPT MRI Chest Wo Then W Cont 35 15 $5,087.00 $4,069.60 20% off $1,449.80 $4,578.30 $3,357.42 2026-03-04
31238 CPT Tx Rm 31238 Nsl Sinus Endo Wcntrl Epistxs 35 15 $5,081.00 $4,064.80 $1,448.09 $4,572.90 $3,353.46 2026-03-04
73720 CPT MRI Lower Ext Wo Then W Cont 35 15 $5,075.00 $4,060.00 20% off $837.03 $4,567.50 $3,349.50 2026-03-04
73220 CPT MRI Upper Ext Wo Then W Cont 35 15 $5,016.00 $4,012.80 $1,013.16 $4,514.40 $3,310.56 2026-03-04
73223 CPT MRI Upper Ext Jt Wo Then W Cont 35 15 $4,987.00 $3,989.60 20% off $1,116.05 $4,488.30 $3,291.42 2026-03-04
11406 CPT Tx Rm 11406 Exc Bngn Lsn Trunk Extrem > 4.0cm 35 15 $4,980.00 $3,984.00 20% off $1,419.30 $4,482.00 $3,286.80 2026-03-04
70546 CPT MRA Head Wo Then W Cont 35 15 $4,972.00 $3,977.60 20% off $359.65 $4,474.80 $3,281.52 2026-03-04
J9303 HCPCS Panitumumab IV Soln 400 Mg/20ml 35 15 $4,958.88 $3,967.11 $1,413.28 $4,462.99 $3,272.86 2026-03-04
46230 CPT Surg 46230 Excision Multiple External Papillae/tags Anus 35 15 $4,840.00 $3,872.00 20% off $1,379.40 $4,356.00 $3,194.40 2026-03-04
33 EAPG Level I Hand Procedures 2 1 — — $3,038.05 $3,339.01 $3,188.53 2026-03-04
381 EAPG Level I Dental Implants 2 1 — — $3,026.84 $3,326.69 $3,176.77 2026-03-04
114 EAPG Level Ii Blood Product Exchange Services 2 1 — — $3,009.66 $3,307.81 $3,158.73 2026-03-04
478 EAPG Level Iii Radiation Treatment Preparation And Planning 2 1 — — $2,993.23 $3,289.75 $3,141.49 2026-03-04
70549 CPT MRA Neck Wo Then W Cont 35 15 $4,755.00 $3,804.00 20% off $1,355.18 $4,279.50 $3,138.30 2026-03-04
46320 CPT Surg 46320 Exc Thrombosed Hemorrhoid Xtrnl 35 15 $4,657.00 $3,725.60 20% off $1,327.25 $4,191.30 $3,073.62 2026-03-04
74176 CPT CT Abd Pelvis Wo Contrast 36 15 $4,756.00 $3,804.80 $833.65 $4,280.40 $3,068.34 2026-03-04
176 EAPG Level I Prostate Procedures 2 1 — — $2,921.52 $3,210.93 $3,066.22 2026-03-04
36576 CPT Surg 36576 Rpr Ctr Vad W/subq Port/pmp Ctr/prph Insj Sit 35 15 $4,619.00 $3,695.20 20% off $1,316.42 $4,157.10 $3,048.54 2026-03-04
259 EAPG Level Ii Eyelid, Lacrimal And Conjunctival Procedures 2 1 — — $2,896.87 $3,183.84 $3,040.36 2026-03-04
73719 CPT MRI Lower Ext W Contrast 35 15 $4,604.00 $3,683.20 20% off $1,312.14 $4,143.60 $3,038.64 2026-03-04
28192 CPT Ed 28192 Remove Fb Foot Deep 35 15 $4,574.00 $3,659.20 20% off $1,303.59 $4,116.60 $3,018.84 2026-03-04
70542 CPT MRI Face Neck Orb W Contrast 35 15 $4,561.00 $3,648.80 $1,299.89 $4,104.90 $3,010.26 2026-03-04
38500 CPT Surg 38500 Surg Bx Lymph Nodes(s) Superficial Open 35 15 $4,545.00 $3,636.00 20% off $1,295.33 $4,090.50 $2,999.70 2026-03-04
252 EAPG Level I Ear, Nose, Mouth And Throat Procedures 2 1 — — $2,849.81 $3,132.12 $2,990.97 2026-03-04
52000 CPT Surg 52000 Cystourethroscopy 35 15 $4,491.00 $3,592.80 $1,279.94 $4,041.90 $2,964.06 2026-03-04
20 EAPG Breast Biopsies, Excisions, And Other Related Procedures 2 1 — — $2,822.17 $3,101.74 $2,961.95 2026-03-04
75 EAPG Level I Central Venous Access Procedures 2 1 — — $2,816.19 $3,095.17 $2,955.68 2026-03-04
J3111 HCPCS Romosozumab-aqqg Inj Soln Prefilled Syringe 105 Mg/1.17ml 60 15 $4,540.02 $3,632.02 $11.36 $4,187.32 $2,897.05 2026-03-04
10 EAPG Level Ii Skin Excisions, Biopsies, And Repairs 2 1 — — $2,734.77 $3,005.68 $2,870.22 2026-03-04
222 EAPG Sleep Studies Attended 2 1 — — $2,718.33 $2,987.62 $2,852.97 2026-03-04
72149 CPT MRI L Spine W Contrast 35 15 $4,316.00 $3,452.80 $1,230.06 $3,884.40 $2,848.56 2026-03-04
59409 CPT Ed 59409 Ed Delivery Vaginal Only 35 15 $4,316.00 $3,452.80 $1,230.06 $3,884.40 $2,848.56 2026-03-04
72147 CPT MRI T Spine W Contrast 35 15 $4,316.00 $3,452.80 $1,230.06 $3,884.40 $2,848.56 2026-03-04
72142 CPT MRI C Spine W Contrast 35 15 $4,305.00 $3,444.00 20% off $1,226.93 $3,874.50 $2,841.30 2026-03-04
136 EAPG Level I Lower Gi Endoscopy 2 1 — — $2,662.31 $2,926.04 $2,794.18 2026-03-04
70552 CPT MRI Brain W Contrast 35 15 $4,227.00 $3,381.60 20% off $1,204.70 $3,804.30 $2,789.82 2026-03-04
234 EAPG Level I Anterior Chamber Eye Procedures 2 1 — — $2,651.85 $2,914.55 $2,783.20 2026-03-04
173 EAPG Level I Bladder And Ureteral Procedures 2 1 — — $2,648.86 $2,911.27 $2,780.07 2026-03-04
78451 CPT Nm Myocardial Spect Sngl Stdy 35 15 $4,186.00 $3,348.80 $1,193.01 $3,767.40 $2,762.76 2026-03-04
73222 CPT MRI Up Ext Jt Wcont 35 15 $4,165.00 $3,332.00 20% off $1,187.03 $3,748.50 $2,748.90 2026-03-04
73722 CPT MRI Lower Ext Jt W Contrast 35 15 $4,155.00 $3,324.00 20% off $1,184.18 $3,739.50 $2,742.30 2026-03-04
J7300 HCPCS Cntrcpt IUD Paragard 35 15 $4,155.00 $3,324.00 20% off $1,184.18 $3,739.50 $2,742.30 2026-03-04
279 EAPG Level Ii Vascular Radiological Procedures 2 1 — — $2,586.86 $2,843.12 $2,714.99 2026-03-04
180 EAPG Testicular And Epididymal Procedures 2 1 — — $2,568.19 $2,822.60 $2,695.39 2026-03-04
45303 CPT Tx Rm 45303 Proctosigmoidoscopy Wdilation 35 15 $4,082.00 $3,265.60 20% off $1,163.37 $3,673.80 $2,694.12 2026-03-04
74182 CPT MRI Abdomen W Contrast 35 15 $4,028.00 $3,222.40 20% off $1,147.98 $3,625.20 $2,658.48 2026-03-04
J1437 HCPCS Ferric Derisomaltose (One Dose) IV Sol 1000 Mg/10ml (Fe Eq) 35 15 $4,026.90 $3,221.52 20% off $1,147.67 $3,624.21 $2,657.75 2026-03-04
Q5122 HCPCS Pegfilgrastim-apgf Soln Prefilled Syringe 6 Mg/0.6ml 35 15 $4,021.30 $3,217.04 20% off $98.36 $3,619.17 $2,654.06 2026-03-04
95805 CPT Multiple Sleep Latency 95805 35 15 $4,017.00 $3,213.60 20% off $1,144.85 $3,615.30 $2,651.22 2026-03-04
258 EAPG Level I Eyelid, Lacrimal And Conjunctival Procedures 2 1 — — $2,522.62 $2,772.52 $2,647.57 2026-03-04
2016 EAPG Level Ii Allergy Tests 2 1 — — $2,514.40 $2,763.49 $2,638.94 2026-03-04
72148 CPT MRI L Spine Wo Contrast 35 15 $3,957.00 $3,165.60 20% off $720.11 $3,561.30 $2,611.62 2026-03-04
70540 CPT MRI Face Neck Orb Wo Contrast 35 15 $3,957.00 $3,165.60 20% off $1,127.75 $3,561.30 $2,611.62 2026-03-04
46040 CPT Ed 46040 I&d Perirectal Abscess 35 15 $3,928.00 $3,142.40 20% off $1,119.48 $3,535.20 $2,592.48 2026-03-04
348 EAPG Level Iii Radiation Therapy 2 1 — — $2,459.12 $2,702.73 $2,580.93 2026-03-04
26410 CPT Ed 26410 Rpr Hand Tendor 35 15 $3,898.00 $3,118.40 20% off $1,110.93 $3,508.20 $2,572.68 2026-03-04
72191 CPT CTA Pelvis Wcont +wo If Perf 35 15 $3,897.00 $3,117.60 20% off $1,110.65 $3,507.30 $2,572.02 2026-03-04
72133 CPT CT Lumbar Spine Wo Then Wcon 35 15 $3,872.00 $3,097.60 20% off $1,103.52 $3,484.80 $2,555.52 2026-03-04
70545 CPT MRA Head W Contrast 35 15 $3,870.00 $3,096.00 20% off $1,102.95 $3,483.00 $2,554.20 2026-03-04
27899 CPT Ed 27899 Leg/ankle Unlisted Procedure 35 15 $3,848.00 $3,078.40 20% off $1,096.68 $3,463.20 $2,539.68 2026-03-04
72141 CPT MRI C Spine Wo Contrast 36 15 $3,734.00 $2,987.20 20% off $720.11 $3,360.60 $2,539.12 2026-03-04
44 EAPG Bone Or Joint Manipulation Under Anesthesia 2 1 — — $2,415.05 $2,654.29 $2,534.67 2026-03-04
74175 CPT CTA Abd Wcont +wo If Perf 35 15 $3,822.00 $3,057.60 20% off $1,089.27 $3,439.80 $2,522.52 2026-03-04
72146 CPT MRI T Spine Wo Contrast 35 15 $3,806.00 $3,044.80 $791.44 $3,425.40 $2,511.96 2026-03-04
71270 CPT CT Thorax Diagnostic Wo Then W Contrast 35 15 $3,802.00 $3,041.60 20% off $1,083.57 $3,421.80 $2,509.32 2026-03-04
70488 CPT CT Maxillofacial Wo W Cont 36 15 $3,684.00 $2,947.20 20% off $1,049.94 $3,315.60 $2,505.12 2026-03-04
363 EAPG Level Iii Dental Restorations 2 1 — — $2,372.47 $2,607.50 $2,489.98 2026-03-04
591 EAPG Acute Myocardial Infarction 2 1 — — $2,372.47 $2,607.50 $2,489.98 2026-03-04
70551 CPT MRI Brain Wo Contrast 36 15 $3,859.00 $3,087.20 20% off $362.30 $3,473.10 $2,489.64 2026-03-04
70471 CPT CTA Head Neck W Contrast And Noncontrast Img Post Proc 35 15 $3,760.00 $3,008.00 20% off $1,071.60 $3,384.00 $2,481.60 2026-03-04
Q5120 HCPCS Pegfilgrastim-bmez Soln Prefilled Syringe 6 Mg/0.6ml 37 15 $3,902.40 $3,121.92 20% off $327.13 $3,512.16 $2,459.68 2026-03-04
11423 CPT Surg 11423 Exc Bngn Lsn S/n/h/f/g 2.1-3.0cm 35 15 $3,718.00 $2,974.40 20% off $1,059.63 $3,346.20 $2,453.88 2026-03-04
72195 CPT MRI Pelvis Wo Contrast 35 15 $3,716.00 $2,972.80 $798.18 $3,344.40 $2,452.56 2026-03-04
192 EAPG Level Ii Fetal Procedures 2 1 — — $2,330.64 $2,561.52 $2,446.08 2026-03-04
73221 CPT MRI Upper Ext Jt Wo Contrast 36 15 $3,593.00 $2,874.40 20% off $791.44 $3,233.70 $2,443.24 2026-03-04
134 EAPG Level I Upper Gi Endoscopy 2 1 — — $2,309.72 $2,538.53 $2,424.12 2026-03-04
70548 CPT MRA Neck W Contrast 35 15 $3,634.00 $2,907.20 20% off $1,035.69 $3,270.60 $2,398.44 2026-03-04
74181 CPT MRI Abdomen Wo Contrast 35 15 $3,621.00 $2,896.80 $1,031.99 $3,258.90 $2,389.86 2026-03-04
73718 CPT MRI Lower Ext Wo Contrast 36 15 $3,513.00 $2,810.40 20% off $798.18 $3,161.70 $2,388.84 2026-03-04
J0202 HCPCS Injection, Alemtuzumab 2 1 — — $2,381.81 $2,381.81 $2,381.81 2026-03-04
74170 CPT CT Abdomen Wo Then W Cont 35 15 $3,601.00 $2,880.80 $458.45 $3,240.90 $2,376.66 2026-03-04
28193 CPT Ed 28193 Removal Fb Foot Complicated 35 15 $3,591.00 $2,872.80 $1,023.44 $3,231.90 $2,370.06 2026-03-04
70498 CPT CT Angio Neck W Con+wo If Perf 35 15 $3,574.00 $2,859.20 20% off $634.39 $3,216.60 $2,358.84 2026-03-04
70496 CPT CTA Head W Cont Wo If Perf 35 15 $3,574.00 $2,859.20 20% off $634.39 $3,216.60 $2,358.84 2026-03-04
10140 CPT Surg 10140 Drain Hematoma Seroma 35 15 $3,571.00 $2,856.80 $1,017.74 $3,213.90 $2,356.86 2026-03-04
41 EAPG Closed Treatment Fx And Dislocation 2 1 — — $2,237.27 $2,458.90 $2,348.09 2026-03-04
70492 CPT CT Sft Tisue Neck Wwo Then W 35 15 $3,544.00 $2,835.20 20% off $1,010.04 $3,189.60 $2,339.04 2026-03-04
70336 CPT MRI Temporomandibular Joint 35 15 $3,531.00 $2,824.80 $1,006.34 $3,177.90 $2,330.46 2026-03-04
92 EAPG Resuscitation 2 1 — — $2,216.35 $2,435.91 $2,326.13 2026-03-04
19020 CPT Tx Rm 19020 Incision Of Breast Lesion Abscess Deep 35 15 $3,522.00 $2,817.60 20% off $1,003.77 $3,169.80 $2,324.52 2026-03-04
70544 CPT MRA Head Wo Contrast 35 15 $3,521.00 $2,816.80 $359.65 $3,168.90 $2,323.86 2026-03-04
73721 CPT MRI Lower Ext Jt Wo Contrast 35 15 $3,513.00 $2,810.40 20% off $724.60 $3,161.70 $2,318.58 2026-03-04
64 EAPG Level I Lower Airway Endoscopy 2 1 — — $2,197.67 $2,415.38 $2,306.53 2026-03-04
99291 CPT Ed 99291 Critical Care E&m 30-74 Min 36 15 $3,574.00 $2,859.20 20% off $873.78 $3,216.60 $2,305.77 2026-03-04
220 EAPG Level Ii Nervous System Injections Including Cranial Tap 2 1 — — $2,193.94 $2,411.28 $2,302.61 2026-03-04
90 EAPG Level I Varicose Vein And Related Procedures 2 1 — — $2,188.71 $2,405.53 $2,297.12 2026-03-04
70482 CPT CT Orbit Sella Fossa Ear Wo Then W Contrast 35 15 $3,479.00 $2,783.20 20% off $991.52 $3,131.10 $2,296.14 2026-03-04
71275 CPT CTA Chest Wcont +wo If Perf 36 15 $3,559.00 $2,847.20 20% off $684.19 $3,203.10 $2,296.09 2026-03-04
72194 CPT CT Pelvis Wo Then W Cont 35 15 $3,462.00 $2,769.60 20% off $986.67 $3,115.80 $2,284.92 2026-03-04
J3590 HCPCS Idarucizumab IV Soln 2.5 Gm/50ml 35 15 $3,454.51 $2,763.61 $984.54 $3,109.06 $2,279.98 2026-03-04
74160 CPT CT Abdomen W Contrast 35 15 $3,452.00 $2,761.60 20% off $983.82 $3,106.80 $2,278.32 2026-03-04
71260 CPT CT Thorax Diagnostic With Contrast 37 15 $3,436.00 $2,748.80 $305.05 $3,092.40 $2,267.76 2026-03-04
J3358 HCPCS Ustekinumab IV Soln 130 Mg/26ml (5 Mg/ml) (For IV Infusion) 35 15 $3,431.81 $2,745.45 $978.07 $3,088.63 $2,264.99 2026-03-04
J1561 HCPCS Immune Globulin (Human) IV Or Subcutaneous Soln 1 GM/10ML,Immune Globulin (Human… 135 15 $4,174.60 $3,339.68 20% off $49.73 $5,810.22 $2,236.75 2026-03-04
28455 CPT Ed 28455 Tx Bone Tarsal W/manipulation 35 15 $3,376.00 $2,700.80 $962.16 $3,038.40 $2,228.16 2026-03-04
J0875 HCPCS Dalbavancin HCl For IV Soln 500 Mg (Base Equivalent) 35 15 $3,374.00 $2,699.20 20% off $961.59 $3,036.60 $2,226.84 2026-03-04
73702 CPT CT Ext Lower Wo Then W Cont 35 15 $3,370.00 $2,696.00 20% off $960.45 $3,033.00 $2,224.20 2026-03-04
73202 CPT CT Ext Upper Wwo Contrast 35 15 $3,330.00 $2,664.00 20% off $949.05 $2,997.00 $2,197.80 2026-03-04
J2426 HCPCS Paliperidone Palmitate ER Susp Pref Syr 156 Mg/ml 35 15 $3,313.56 $2,650.85 $944.36 $2,982.20 $2,186.95 2026-03-04
73218 CPT MRI Up Ext Wo Cont 35 15 $3,307.00 $2,645.60 20% off $942.50 $2,976.30 $2,182.62 2026-03-04
170 EAPG Level I Kidney And Ureteral Procedures 2 1 — — $2,075.91 $2,281.56 $2,178.73 2026-03-04
C8929 HCPCS Echo Wwo Fol Wcont 2d Complete 37 15 $3,272.00 $2,617.60 20% off $932.52 $2,944.80 $2,159.52 2026-03-04
See an error in this hospital's data? Submit a correction