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

COFFEY COUNTY HOSPITAL

Burlington, KS · CCN 171385 · Rates published

3,802 distinct procedures filed
18 distinct payers
65,138 rate rows
2026-05-08 last MRF observed
Data quality

59,516 of 65,138 rate rows are consumer-grade (91.4%)

5,622 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,580
exceeds 10× this hospital's gross charge — excluded from medians 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://coffeyhealth.org/Documents/480860883_Coffey_County_Hospital_Standardcharges.csv
Found on page https://coffeyhealth.org/patient-experience/pricing-and-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-28
Content fingerprint 4a520ebd8e769746… · 6,288,925 bytes · first seen 2026-05-08

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
19307
OTHER 		Mastectomy Modified Radical 17 $38.50 $6,289.22 $6,289.22 nat. median
$5,673
1.1× median
36825146
OTHER 		Omnicurve 11g 20mm Fracture Kt 17 $38.50 $5,691.11 $5,691.11 nat. median
$5,691
1.0× median
32101015
OTHER 		Or Level V First 30 Mins 17 $38.50 $5,332.64 $5,332.64 nat. median
$78
outlier · 68.4×
14001
OTHER 		Tis Trnfr Trnk 10.1 - 30 Sq Cm 17 $38.50 $4,991.61 $4,991.61 nat. median
$1,666
outlier · 3.0×
19303
OTHER 		Mastectomy Simple Complete 17 $38.50 $4,963.85 $4,963.85 nat. median
$5,704
0.9× median
36821295
OTHER 		Sling System Hammock Device 17 $38.50 $4,392.10 $4,392.10 nat. median
$4,392
1.0× median
57287
OTHER 		Revise Remove Sling Repair 17 $38.50 $4,197.24 $4,197.24 nat. median
$2,846
1.5× median
69436B
OTHER 		Create Eardrum Opening Bilater 17 $38.50 $4,114.61 $4,114.61 nat. median
$4,115
1.0× median
30001778
OTHER 		Trial Lead Kit 17 $38.50 $4,050.73 $4,050.73 nat. median
$255
outlier · 15.9×
32101012
OTHER 		Or Level IV First 30 Mins 17 $38.50 $4,015.93 $4,015.93 nat. median
$3,785
1.1× median
19301
OTHER 		Partial Mastectomy 17 $38.50 $3,802.51 $3,802.51 nat. median
$3,496
1.1× median
14000
OTHER 		Tis Trnfr Trunk 10sq Cm/< 17 $38.50 $3,488.59 $3,488.59 nat. median
$1,612
outlier · 2.2×
19125
OTHER 		Exc Breast Lesion W Preop P 17 $38.50 $3,428.68 $3,428.68 nat. median
$3,213
1.1× median
66984B
OTHER 		Cataract Surg W/iol 1 Stage Bi 17 $38.50 $3,378.65 $3,378.65 nat. median
$3,379
1.0× median
40700090
OTHER 		Antivenin Crofab Vial #j0840 17 $38.50 $3,368.64 $3,368.64 nat. median
$3,369
1.0× median
11772
OTHER 		Remove Pilonidal Cyst Complica 17 $38.50 $3,298.34 $3,298.34 nat. median
$2,523
1.3× median
31001008
OTHER 		C Section Plus 17 $38.50 $3,291.75 $3,291.75 nat. median
$3,292
1.0× median
64633B
OTHER 		Destroy Cer/thor Facet Jnt Bi 17 $38.50 $3,169.30 $3,169.30 nat. median
$3,169
1.0× median
55520
OTHER 		Excision Lesion Spermatic Cord 17 $38.50 $3,160.08 $3,160.08 nat. median
$3,074
1.0× median
24005458
OTHER 		Jada System 17 $38.50 $3,012.94 $3,012.94 nat. median
$3,013
1.0× median
A59510N
OTHER 		OB Antprt Cr Csrn Dlvr/pstprt 17 $130.00 $2,994.26 $2,994.26 nat. median
$2,994
1.0× median
44401
OTHER 		Colo Thru Stoma W Ablation 17 $38.50 $2,937.47 $2,937.47 nat. median
$1,202
outlier · 2.4×
38500
OTHER 		Excision Of Lymph Node 17 $38.50 $2,894.76 $2,894.76 nat. median
$3,059
0.9× median
49592
OTHER 		Repair Ant Abd Hernia Any Appr 17 $38.50 $2,830.91 $2,830.91 nat. median
$5,555
0.5× median
49594
OTHER 		Repair Aa Hernia 1 3-10 Ncr/st 17 $38.50 $2,830.91 $2,830.91 nat. median
$5,613
0.5× median
49593
OTHER 		Repair Aa Hernia 3 To 10cm Red 17 $38.50 $2,765.07 $2,765.07 nat. median
$4,878
0.6× median
A59400N
OTHER 		Total OB Care Routin Vag Dlv 17 $130.00 $2,711.24 $2,711.24 nat. median
$2,711
1.0× median
32101009
OTHER 		Or Level Iii First 30 Mins 17 $38.50 $2,699.24 $2,699.24 nat. median
$2,699
1.0× median
38101008
OTHER 		Mead Rm Rent Two Bedroom 17 $38.50 $2,577.44 $2,577.44 nat. median
$2,577
1.0× median
19300
OTHER 		Removal Breast Tissue 17 $38.50 $2,538.60 $2,538.60 nat. median
$2,818
0.9× median
21012
OTHER 		Exc Tmr Sft Tiss F/s Sq 2cm/> 17 $38.50 $2,438.32 $2,438.32 nat. median
$1,411
1.7× median
11771
OTHER 		Remove Pilonidal Cyst Extensiv 17 $38.50 $2,400.34 $2,400.34 nat. median
$2,400
1.0× median
19100
OTHER 		Incisional Bx Breast 17 $38.50 $2,384.61 $2,384.61 nat. median
$1,360
1.8× median
21552
OTHER 		Exc Tmr St Neck Sq 3cm > 17 $38.50 $2,370.06 $2,370.06 nat. median
$2,441
1.0× median
11426
OTHER 		Exc H F Nk Sp B9+Margin > 4cm 17 $38.50 $2,368.74 $2,368.74 nat. median
$2,343
1.0× median
25071
OTHER 		Exc Forearm Les Sc 3cm > 17 $38.50 $2,357.22 $2,357.22 nat. median
$1,525
1.5× median
64585
OTHER 		Revise/remove Neuroelectrode 17 $38.50 $2,329.90 $2,329.90 nat. median
$3,202
0.7× median
14040
OTHER 		Adjt Tis Trns Rearrng 10sq/< 17 $38.50 $2,314.76 $2,314.76 nat. median
$1,726
1.3× median
31001007
OTHER 		C Section 17 $38.50 $2,304.22 $2,304.22 nat. median
$189
outlier · 12.2×
46040
OTHER 		Id Ischiorectal/perirectal Abs 17 $38.50 $2,300.93 $2,300.93 nat. median
$1,105
outlier · 2.1×
46040-450
OTHER 		Incision Of Rectal Abscess 17 $38.50 $2,300.93 $2,300.93 nat. median
$2,301
1.0× median
49591
OTHER 		Repair Ant Abd Hernia A App <3 17 $38.50 $2,219.16 $2,219.16 nat. median
$3,322
0.7× median
66821B
OTHER 		Post Cataract Laser Surgery Bi 17 $38.50 $2,215.36 $2,215.36 nat. median
$2,215
1.0× median
81420
OTHER 		Materniti21 Plus Core 17 $38.50 $2,179.82 $2,179.82 nat. median
$772
outlier · 2.8×
46020
OTHER 		Placement Of Seton 17 $38.50 $2,069.20 $2,069.20 nat. median
$2,458
0.8× median
46999
OTHER 		Unlisted Procedure Anus 17 $38.50 $2,068.21 $2,068.21 nat. median
$1,014
outlier · 2.0×
38101007
OTHER 		Mead Rm Rent One Bedroom 17 $38.50 $2,044.17 $2,044.17 nat. median
$2,044
1.0× median
36816178
OTHER 		Mesh Plug Hernia Ultrapro Lrg 17 $38.50 $2,043.06 $2,043.06 nat. median
$2,043
1.0× median
10180
OTHER 		I&d Complex Wound Infection 17 $38.50 $2,024.47 $2,024.47 nat. median
$2,343
0.9× median
32551B
OTHER 		Tube Thoracostomy Bilateral 17 $38.50 $2,009.29 $2,009.29 nat. median
$2,009
1.0× median

Other procedures at this hospital

Browse this hospital's 3,802 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
             
19307 OTHER Mastectomy Modified Radical 17 17 $9,553.00 $2,865.90 70% off $38.50 $6,289.22 $6,289.22 2026-05-08
36825146 OTHER Omnicurve 11g 20mm Fracture Kt 17 17 $8,644.50 — $38.50 $5,691.11 $5,691.11 2026-05-08
32101015 OTHER Or Level V First 30 Mins 17 17 $8,100.00 $2,430.00 70% off $38.50 $5,332.64 $5,332.64 2026-05-08
14001 OTHER Tis Trnfr Trnk 10.1 - 30 Sq Cm 17 17 $7,582.00 $2,274.60 70% off $38.50 $4,991.61 $4,991.61 2026-05-08
19303 OTHER Mastectomy Simple Complete 17 17 $7,322.00 $2,196.60 70% off $38.50 $4,963.85 $4,963.85 2026-05-08
36821295 OTHER Sling System Hammock Device 17 17 $6,671.38 — $38.50 $4,392.10 $4,392.10 2026-05-08
57287 OTHER Revise Remove Sling Repair 17 17 $5,909.00 $1,772.70 70% off $38.50 $4,197.24 $4,197.24 2026-05-08
69436B OTHER Create Eardrum Opening Bilater 17 17 $7,310.00 $2,193.00 70% off $38.50 $4,114.61 $4,114.61 2026-05-08
30001778 OTHER Trial Lead Kit 17 17 $6,152.85 — $38.50 $4,050.73 $4,050.73 2026-05-08
32101012 OTHER Or Level IV First 30 Mins 17 17 $6,100.00 $1,830.00 70% off $38.50 $4,015.93 $4,015.93 2026-05-08
19301 OTHER Partial Mastectomy 17 17 $5,472.00 $1,641.60 70% off $38.50 $3,802.51 $3,802.51 2026-05-08
14000 OTHER Tis Trnfr Trunk 10sq Cm/< 17 17 $5,299.00 $1,589.70 70% off $38.50 $3,488.59 $3,488.59 2026-05-08
19125 OTHER Exc Breast Lesion W Preop P 17 17 $5,208.00 $1,562.40 70% off $38.50 $3,428.68 $3,428.68 2026-05-08
66984B OTHER Cataract Surg W/iol 1 Stage Bi 17 17 $5,132.00 $1,539.60 70% off $38.50 $3,378.65 $3,378.65 2026-05-08
40700090 OTHER Antivenin Crofab Vial #j0840 17 17 $5,116.80 $1,535.04 70% off $38.50 $3,368.64 $3,368.64 2026-05-08
11772 OTHER Remove Pilonidal Cyst Complica 17 17 $5,010.00 $1,503.00 70% off $38.50 $3,298.34 $3,298.34 2026-05-08
31001008 OTHER C Section Plus 17 17 $5,000.00 $1,500.00 70% off $38.50 $3,291.75 $3,291.75 2026-05-08
64633B OTHER Destroy Cer/thor Facet Jnt Bi 17 17 $4,814.00 $1,444.20 70% off $38.50 $3,169.30 $3,169.30 2026-05-08
55520 OTHER Excision Lesion Spermatic Cord 17 17 $4,800.00 $1,440.00 70% off $38.50 $3,160.08 $3,160.08 2026-05-08
24005458 OTHER Jada System 17 17 $4,576.50 — $38.50 $3,012.94 $3,012.94 2026-05-08
A59510N OTHER OB Antprt Cr Csrn Dlvr/pstprt 17 17 $4,078.80 — $130.00 $2,994.26 $2,994.26 2026-05-08
44401 OTHER Colo Thru Stoma W Ablation 17 17 $5,124.18 $1,537.25 70% off $38.50 $2,937.47 $2,937.47 2026-05-08
38500 OTHER Excision Of Lymph Node 17 17 $4,397.00 $1,319.10 70% off $38.50 $2,894.76 $2,894.76 2026-05-08
49592 OTHER Repair Ant Abd Hernia Any Appr 17 17 $4,300.00 $1,290.00 70% off $38.50 $2,830.91 $2,830.91 2026-05-08
49594 OTHER Repair Aa Hernia 1 3-10 Ncr/st 17 17 $4,300.00 $1,290.00 70% off $38.50 $2,830.91 $2,830.91 2026-05-08
49593 OTHER Repair Aa Hernia 3 To 10cm Red 17 17 $4,200.00 $1,260.00 70% off $38.50 $2,765.07 $2,765.07 2026-05-08
A59400N OTHER Total OB Care Routin Vag Dlv 17 17 $3,685.34 — $130.00 $2,711.24 $2,711.24 2026-05-08
32101009 OTHER Or Level Iii First 30 Mins 17 17 $4,100.00 $1,230.00 70% off $38.50 $2,699.24 $2,699.24 2026-05-08
38101008 OTHER Mead Rm Rent Two Bedroom 17 17 $3,915.00 $1,174.50 70% off $38.50 $2,577.44 $2,577.44 2026-05-08
19300 OTHER Removal Breast Tissue 17 17 $3,856.00 $1,156.80 70% off $38.50 $2,538.60 $2,538.60 2026-05-08
21012 OTHER Exc Tmr Sft Tiss F/s Sq 2cm/> 17 17 $3,714.00 $1,114.20 70% off $38.50 $2,438.32 $2,438.32 2026-05-08
11771 OTHER Remove Pilonidal Cyst Extensiv 17 17 $3,646.00 $1,093.80 70% off $38.50 $2,400.34 $2,400.34 2026-05-08
19100 OTHER Incisional Bx Breast 17 17 $4,545.00 $1,363.50 70% off $38.50 $2,384.61 $2,384.61 2026-05-08
21552 OTHER Exc Tmr St Neck Sq 3cm > 17 17 $3,600.00 $1,080.00 70% off $38.50 $2,370.06 $2,370.06 2026-05-08
11426 OTHER Exc H F Nk Sp B9+Margin > 4cm 17 17 $3,598.00 $1,079.40 70% off $38.50 $2,368.74 $2,368.74 2026-05-08
25071 OTHER Exc Forearm Les Sc 3cm > 17 17 $3,580.50 $1,074.15 70% off $38.50 $2,357.22 $2,357.22 2026-05-08
64585 OTHER Revise/remove Neuroelectrode 17 17 $3,539.00 $1,061.70 70% off $38.50 $2,329.90 $2,329.90 2026-05-08
14040 OTHER Adjt Tis Trns Rearrng 10sq/< 17 17 $3,516.00 $1,054.80 70% off $38.50 $2,314.76 $2,314.76 2026-05-08
31001007 OTHER C Section 17 17 $3,500.00 $1,050.00 70% off $38.50 $2,304.22 $2,304.22 2026-05-08
46040 OTHER Id Ischiorectal/perirectal Abs 17 17 $3,495.00 $1,048.50 70% off $38.50 $2,300.93 $2,300.93 2026-05-08
46040-450 OTHER Incision Of Rectal Abscess 17 17 $3,495.00 $1,048.50 70% off $38.50 $2,300.93 $2,300.93 2026-05-08
49591 OTHER Repair Ant Abd Hernia A App <3 17 17 $1,708.69 $512.61 70% off $38.50 $2,219.16 $2,219.16 2026-05-08
66821B OTHER Post Cataract Laser Surgery Bi 17 17 $3,706.00 $1,111.80 70% off $38.50 $2,215.36 $2,215.36 2026-05-08
81420 OTHER Materniti21 Plus Core 17 17 $3,311.04 $993.31 70% off $38.50 $2,179.82 $2,179.82 2026-05-08
46020 OTHER Placement Of Seton 17 17 $3,143.00 $942.90 70% off $38.50 $2,069.20 $2,069.20 2026-05-08
46999 OTHER Unlisted Procedure Anus 17 17 $3,141.50 $942.45 70% off $38.50 $2,068.21 $2,068.21 2026-05-08
38101007 OTHER Mead Rm Rent One Bedroom 17 17 $3,105.00 $931.50 70% off $38.50 $2,044.17 $2,044.17 2026-05-08
36816178 OTHER Mesh Plug Hernia Ultrapro Lrg 17 17 $3,103.29 — $38.50 $2,043.06 $2,043.06 2026-05-08
10180 OTHER I&d Complex Wound Infection 17 17 $721.22 $216.37 70% off $38.50 $2,024.47 $2,024.47 2026-05-08
32551B OTHER Tube Thoracostomy Bilateral 17 17 $3,052.00 $915.60 70% off $38.50 $2,009.29 $2,009.29 2026-05-08
11626 OTHER Exc S/n/h/f/g Mal + Mar>4cm 17 17 $2,500.00 $750.00 70% off $38.50 $2,000.65 $2,000.65 2026-05-08
24075 OTHER Excision Soft Tissue Arm/elbow 17 17 $2,991.00 $897.30 70% off $38.50 $1,969.12 $1,969.12 2026-05-08
14021 OTHER Tis Trnfr S/a/l 10.1-30 Sq Cm 17 17 $2,501.00 $750.30 70% off $38.50 $1,931.14 $1,931.14 2026-05-08
40704024 OTHER Dupilumab 300 Mg/2 Ml Pen 17 17 $2,852.50 $855.75 70% off $38.50 $1,877.94 $1,877.94 2026-05-08
58999 OTHER Unlisted Procedure Female Gen 17 17 $2,829.17 $848.75 70% off $38.50 $1,862.59 $1,862.59 2026-05-08
22903 OTHER Exc Tmr St Abd Wall Sq 3cm > 17 17 $2,800.00 $840.00 70% off $38.50 $1,843.38 $1,843.38 2026-05-08
22902 OTHER Exc Tmr St Abd Wall Sq < 3cm 17 17 $2,800.00 $840.00 70% off $38.50 $1,843.38 $1,843.38 2026-05-08
70553D OTHER MRI IACs Without W 17 17 $3,297.50 $989.25 70% off $38.50 $1,842.58 $1,842.58 2026-05-08
70553C OTHER MRI Pituitary Without W 17 17 $3,297.50 $989.25 70% off $38.50 $1,842.58 $1,842.58 2026-05-08
11424 OTHER Exc H F Nk Sp B9+Margin 3.1-4 17 17 $2,765.00 $829.50 70% off $38.50 $1,820.34 $1,820.34 2026-05-08
22515 OTHER Percut Vert Aug Kypho E Add Bo 17 17 $2,760.00 $828.00 70% off $38.50 $1,817.05 $1,817.05 2026-05-08
C8929 HCPCS Tte W Or Wo Fol Wcon,doppler 17 17 $2,750.00 $825.00 70% off $38.50 $1,810.46 $1,810.46 2026-05-08
11044 OTHER Debride Bne Mscl/fscia 20sq O< 17 17 $2,707.00 $812.10 70% off $38.50 $1,782.15 $1,782.15 2026-05-08
74174 OTHER CT Angio Abdmn & Pelvis 17 17 $2,685.00 $805.50 70% off $38.50 $1,767.67 $1,767.67 2026-05-08
59300-450 OTHER Episiotomy Or Vgnl Rpr By Othr 17 17 $2,680.00 $804.00 70% off $38.50 $1,764.38 $1,764.38 2026-05-08
64595 OTHER Revise/rmv Pn/gastric Stimulat 17 17 $2,677.00 $803.10 70% off $38.50 $1,762.40 $1,762.40 2026-05-08
36816166 OTHER Mesh Plug Hernia Ultrapro Med 17 17 $2,647.52 — $38.50 $1,742.99 $1,742.99 2026-05-08
36814682 OTHER Mesh Vt St4.3X5.5 Oval 5950040 17 17 $2,642.88 — $38.50 $1,739.94 $1,739.94 2026-05-08
12051-360 OTHER Lac Intrm Face 2.5cm Or Less 17 17 $2,882.00 $864.60 70% off $38.50 $1,726.49 $1,726.49 2026-05-08
12051 OTHER Lac Intrm Face 2.5cm Or Less 17 17 $2,882.00 $864.60 70% off $38.50 $1,726.49 $1,726.49 2026-05-08
78452 OTHER Nm Stress Cardio 17 17 $2,545.00 $763.50 70% off $38.50 $1,675.50 $1,675.50 2026-05-08
19126 OTHER Exc Breast Lesion Additional 17 17 $2,543.00 $762.90 70% off $38.50 $1,674.18 $1,674.18 2026-05-08
36569 OTHER Picc Line Insertion >5 Yrs 17 17 $2,684.00 $805.20 70% off $38.50 $1,661.88 $1,661.88 2026-05-08
36569-761 OTHER Insj Prph Cvc Wo Sbq P/p 5y/> 17 17 $2,684.00 $805.20 70% off $38.50 $1,661.88 $1,661.88 2026-05-08
74178 OTHER CT Abdmn/pelvis W & Wo 17 17 $2,987.00 $896.10 70% off $38.50 $1,659.03 $1,659.03 2026-05-08
46221 OTHER Hemorrhoidectomy Intrn Rubber 17 17 $2,508.00 $752.40 70% off $38.50 $1,651.14 $1,651.14 2026-05-08
31001006 OTHER Vaginal Delivery Plus 17 17 $2,500.00 $750.00 70% off $38.50 $1,645.88 $1,645.88 2026-05-08
32554B-761 OTHER Thoracentesis Wo Imaging G Bi 17 17 $2,602.00 $780.60 70% off $38.50 $1,607.12 $1,607.12 2026-05-08
64634B OTHER Destroy Cer/thr Fac Jnt Add Bi 17 17 $2,410.00 $723.00 70% off $38.50 $1,586.62 $1,586.62 2026-05-08
64633 OTHER Destroy Cer/thor Facet Joint 17 17 $2,407.00 $722.10 70% off $38.50 $1,584.65 $1,584.65 2026-05-08
44389 OTHER Colonoscopy Through Stoma W Bx 17 17 $2,357.50 $707.25 70% off $38.50 $1,552.07 $1,552.07 2026-05-08
36814857 OTHER Fixation System Bard Sorbafi 17 17 $2,314.01 — $38.50 $1,523.43 $1,523.43 2026-05-08
74177 OTHER CT Abdmn/pelvis W Contr 17 17 $2,685.00 $805.50 70% off $38.50 $1,515.58 $1,515.58 2026-05-08
23071 OTHER Exc Tmr St Shoulder Sq 3cm > 17 17 $2,300.00 $690.00 70% off $38.50 $1,514.20 $1,514.20 2026-05-08
43251 OTHER Egd Remove Lesion Snare 17 17 $2,277.80 $683.34 70% off $38.50 $1,499.59 $1,499.59 2026-05-08
11406 OTHER Exc Tr-ext B9 + Marg >4.0cm 17 17 $2,263.00 $678.90 70% off $38.50 $1,489.85 $1,489.85 2026-05-08
70553 OTHER MRI Brain W & Without 17 17 $2,551.00 $765.30 70% off $38.50 $1,487.98 $1,487.98 2026-05-08
93306 OTHER US Echo 17 17 $2,240.00 $672.00 70% off $38.50 $1,474.70 $1,474.70 2026-05-08
A27130N OTHER Assist Arthroplasty Ttl Hip 18 18 $6,750.62 — $130.00 $1,470.37 $1,470.37 2026-05-08
A27130R OTHER Assist Arthroplasty Ttl Hip 18 18 $6,750.62 — $130.00 $1,470.37 $1,470.37 2026-05-08
A27447R OTHER Arthroplasty Total Knee Assst 18 18 $6,015.20 — $130.00 $1,468.61 $1,468.61 2026-05-08
A27447N OTHER Arthroplasty Total Knee Assst 18 18 $6,015.20 — $130.00 $1,468.61 $1,468.61 2026-05-08
70481 OTHER CT Face/Orbit With Contrast 17 17 $2,581.00 $774.30 70% off $38.50 $1,466.18 $1,466.18 2026-05-08
73221B OTHER MRI Up Ext Jnt Without Bil 17 17 $2,500.00 $750.00 70% off $38.50 $1,463.76 $1,463.76 2026-05-08
32101016 OTHER Or Level V Ea Add 30 Mins 17 17 $2,200.00 $660.00 70% off $38.50 $1,448.37 $1,448.37 2026-05-08
64430 OTHER Njx Pudendal Nerve 17 17 $2,192.00 $657.60 70% off $38.50 $1,443.11 $1,443.11 2026-05-08
74183 OTHER MRI Abdomen W & Without 17 17 $2,372.00 $711.60 70% off $38.50 $1,402.96 $1,402.96 2026-05-08
74176 OTHER CT Abdmn/pelvis Wo 17 17 $2,441.00 $732.30 70% off $38.50 $1,399.68 $1,399.68 2026-05-08
70552 OTHER MRI Brain W 17 17 $2,338.00 $701.40 70% off $38.50 $1,386.81 $1,386.81 2026-05-08
72157 OTHER MRI Spine Thoracic W & Without 17 17 $2,332.00 $699.60 70% off $38.50 $1,383.96 $1,383.96 2026-05-08
72156 OTHER MRI Spine Cervial W & Without 17 17 $2,332.00 $699.60 70% off $38.50 $1,383.96 $1,383.96 2026-05-08
32101006 OTHER Or Level Ii First 30 Mins 17 17 $2,100.00 $630.00 70% off $38.50 $1,382.54 $1,382.54 2026-05-08
44392 OTHER Colonoscopy Thru Stoma W Rem T 17 17 $2,072.08 $621.62 70% off $38.50 $1,364.15 $1,364.15 2026-05-08
70496 OTHER CT Angio Head W 17 17 $2,056.00 $616.80 70% off $38.50 $1,353.57 $1,353.57 2026-05-08
70498 OTHER CT Angio Neck W 17 17 $2,056.00 $616.80 70% off $38.50 $1,353.57 $1,353.57 2026-05-08
64494B-761 OTHER Njx Dx/thr Agt Lmbr/sac 2nd Lv 17 17 $2,052.00 $615.60 70% off $38.50 $1,350.93 $1,350.93 2026-05-08
72149 OTHER MRI Lumbar Spine With Contrast 17 17 $2,258.00 $677.40 70% off $38.50 $1,348.81 $1,348.81 2026-05-08
A19307NS OTHER Mastectomy, Modified Radical, 18 18 $4,024.77 — $130.00 $1,335.84 $1,335.84 2026-05-08
70336 OTHER MRI Temporomandibular Joint 17 17 $2,228.00 $668.40 70% off $38.50 $1,334.56 $1,334.56 2026-05-08
31001001 OTHER Delivery Care 17 17 $2,000.00 $600.00 70% off $38.50 $1,316.70 $1,316.70 2026-05-08
27818 OTHER Treatment Of Ankle Fracture 17 17 $1,952.00 $585.60 70% off $38.50 $1,315.88 $1,315.88 2026-05-08
72142 OTHER MRI Spine Cervical W 17 17 $2,169.00 $650.70 70% off $38.50 $1,306.54 $1,306.54 2026-05-08
70551 OTHER MRI Brain Without 17 17 $2,126.00 $637.80 70% off $38.50 $1,286.11 $1,286.11 2026-05-08
11423 OTHER Exc H F Nk Sp B9+Margin 2.1-3 17 17 $1,949.00 $584.70 70% off $38.50 $1,283.12 $1,283.12 2026-05-08
14020 OTHER Tis Trnfr S/a/l 10 Sq Cm/< 17 17 $1,007.00 $302.10 70% off $38.50 $1,278.46 $1,278.46 2026-05-08
55700 OTHER Prostate Needle Bx Any Approac 17 17 $1,941.00 $582.30 70% off $38.50 $1,277.86 $1,277.86 2026-05-08
12032 OTHER Lac Intrm Trnk 2.6 - 7.5cm 17 17 $2,211.00 $663.30 70% off $38.50 $1,275.81 $1,275.81 2026-05-08
71552 OTHER MRI Chest Wo W Contrast 17 17 $2,082.37 $624.71 70% off $38.50 $1,265.38 $1,265.38 2026-05-08
72158 OTHER MRI Spine Lumbar W & Without 17 17 $2,082.00 $624.60 70% off $38.50 $1,265.21 $1,265.21 2026-05-08
36815017 OTHER Mesh Vl St 2.5 Circle 5950008 17 17 $1,913.63 — $38.50 $1,259.84 $1,259.84 2026-05-08
27818-761 OTHER Ankle Fx Trimalleolar W Manipu 17 17 $1,642.00 $492.60 70% off $38.50 $1,259.05 $1,259.05 2026-05-08
74175 OTHER CT Angio Abd W 17 17 $1,912.00 $573.60 70% off $38.50 $1,258.77 $1,258.77 2026-05-08
71275 OTHER CT Angio Chest W 17 17 $1,912.00 $573.60 70% off $38.50 $1,258.77 $1,258.77 2026-05-08
75635 OTHER CT Runoff 17 17 $1,912.00 $573.60 70% off $38.50 $1,258.77 $1,258.77 2026-05-08
70470 OTHER CT Head W & Without 17 17 $2,107.00 $632.10 70% off $38.50 $1,241.03 $1,241.03 2026-05-08
72141 OTHER MRI Spine Cervical Without 17 17 $2,024.00 $607.20 70% off $38.50 $1,237.66 $1,237.66 2026-05-08
72147 OTHER MRI Spine Thoracic W 17 17 $2,009.00 $602.70 70% off $38.50 $1,230.54 $1,230.54 2026-05-08
72148 OTHER MRI Spine Lumbar Without 17 17 $2,009.00 $602.70 70% off $38.50 $1,230.54 $1,230.54 2026-05-08
72146 OTHER MRI Spine Thoracic Without 17 17 $2,009.00 $602.70 70% off $38.50 $1,230.54 $1,230.54 2026-05-08
11770 OTHER Remove Pilonidal Cyst 17 17 $1,868.00 $560.40 70% off $38.50 $1,229.80 $1,229.80 2026-05-08
64517-761 OTHER N Block Inj Hypogas Plxs 17 17 $2,114.00 $634.20 70% off $38.50 $1,229.65 $1,229.65 2026-05-08
66821 OTHER Post Cataract Laser Surgery 17 17 $1,853.00 $555.90 70% off $38.50 $1,219.92 $1,219.92 2026-05-08
70549 OTHER MRA Neck Wo W Contrast 17 17 $1,867.07 $560.12 70% off $38.50 $1,219.33 $1,219.33 2026-05-08
54830 OTHER Excisi Local Lesion Epididymis 17 17 $1,850.05 $555.01 70% off $38.50 $1,217.98 $1,217.98 2026-05-08
14060 OTHER Tis Trnfr E/n/e/l 10sq Cm/< 17 17 $1,428.00 $428.40 70% off $38.50 $1,216.05 $1,216.05 2026-05-08
11420 OTHER Exc B9 Lsn Mrn Ex S Tg 0.5cm/< 17 17 $1,687.00 $506.10 70% off $38.50 $1,212.03 $1,212.03 2026-05-08
36815263 OTHER Mesh Vl St Hrn Ptch C Wstrp3.2 17 17 $1,836.33 — $38.50 $1,208.94 $1,208.94 2026-05-08
11422 OTHER Exc H F Nk Sp B9+Margin 1.1-2 17 17 $1,626.00 $487.80 70% off $38.50 $1,200.84 $1,200.84 2026-05-08
36430HR9 OTHER Op Blood Transfusion 8+ Hr 17 17 $1,975.00 $592.50 70% off $38.50 $1,195.97 $1,195.97 2026-05-08
73723R OTHER MRI Low Ext Jnt W&wo 17 17 $1,935.00 $580.50 70% off $38.50 $1,195.38 $1,195.38 2026-05-08
73723L OTHER MRI Low Ext Jnt W&wo 17 17 $1,935.00 $580.50 70% off $38.50 $1,195.38 $1,195.38 2026-05-08
11606-761 OTHER Exc Malg Lsn T/a/l >4.0cm 17 17 $1,045.00 $313.50 70% off $38.50 $1,190.99 $1,190.99 2026-05-08
32101013 OTHER Or Level IV Ea Add 30 Mins 17 17 $1,800.00 $540.00 70% off $38.50 $1,185.03 $1,185.03 2026-05-08
94002 OTHER Ventilator Mngmnt Initial Day 17 17 $1,783.00 $534.90 70% off $38.50 $1,173.84 $1,173.84 2026-05-08
72197 OTHER MRI Pelvis W & Without 17 17 $1,889.00 $566.70 70% off $38.50 $1,173.54 $1,173.54 2026-05-08
70460 OTHER CT Head W 17 17 $1,964.00 $589.20 70% off $38.50 $1,173.11 $1,173.11 2026-05-08
73220L OTHER MRI Up Extr W&without Left 17 17 $1,868.00 $560.40 70% off $38.50 $1,163.56 $1,163.56 2026-05-08
73218R OTHER MRI Up Extr Without Right 17 17 $1,868.00 $560.40 70% off $38.50 $1,163.56 $1,163.56 2026-05-08
73218L OTHER MRI Upper Ext Without Left 17 17 $1,868.00 $560.40 70% off $38.50 $1,163.56 $1,163.56 2026-05-08
73220R OTHER MRI Up Extr W&wo Right 17 17 $1,868.00 $560.40 70% off $38.50 $1,163.56 $1,163.56 2026-05-08
74181 OTHER MRI Abdomen Without 17 17 $1,868.00 $560.40 70% off $38.50 $1,163.56 $1,163.56 2026-05-08
73720R OTHER MRI Low Ext W&without Rght 17 17 $1,853.00 $555.90 70% off $38.50 $1,156.43 $1,156.43 2026-05-08
73720L OTHER MRI Low Ext W&without Left 17 17 $1,853.00 $555.90 70% off $38.50 $1,156.43 $1,156.43 2026-05-08
25565 OTHER Clsd Tx Radial Ulnar Fx W Mani 17 17 $1,756.00 $526.80 70% off $38.50 $1,156.07 $1,156.07 2026-05-08
64405B-761 OTHER N Block Inj Occipital Bi 17 17 $2,084.00 $625.20 70% off $38.50 $1,149.48 $1,149.48 2026-05-08
72127 OTHER CT Spine Cervical W & Wo Contr 17 17 $1,912.00 $573.60 70% off $38.50 $1,148.40 $1,148.40 2026-05-08
12006 OTHER Rpr Sprfcl Wounds 20.1-30.0cm 17 17 $1,736.00 $520.80 70% off $38.50 $1,142.89 $1,142.89 2026-05-08
73223R OTHER MRI Up Ext Jnt W&wo Rt 17 17 $1,800.00 $540.00 70% off $38.50 $1,131.26 $1,131.26 2026-05-08
73223L OTHER MRI Up Ext Jnt W&wo Lt 17 17 $1,800.00 $540.00 70% off $38.50 $1,131.26 $1,131.26 2026-05-08
36820780 OTHER Harmonic Lap 5Mmshear36Cmhar36 17 17 $1,711.95 — $38.50 $1,127.06 $1,127.06 2026-05-08
21930 OTHER Exc Tmr St B/f Sq < 3cm 17 17 $1,700.00 $510.00 70% off $38.50 $1,119.19 $1,119.19 2026-05-08
28190 OTHER Remove Fb From Foot Sq 17 17 $671.00 $201.30 70% off $38.50 $1,118.89 $1,118.89 2026-05-08
46060 OTHER I&d Ischiorctl/intramr Abscess 17 17 $1,695.71 $508.71 70% off $38.50 $1,116.37 $1,116.37 2026-05-08
A44111NS OTHER Excision 1/> Lesion Intestines 18 18 $3,667.28 — $130.00 $1,111.16 $1,111.16 2026-05-08
19020 OTHER Mastotomy W Expl Or Drain Absc 17 17 $1,187.89 $356.37 70% off $38.50 $1,101.05 $1,101.05 2026-05-08
27096B-761 OTHER Njx Si Jnt Arthrgph/ans/str Bi 17 17 $1,672.00 $501.60 70% off $38.50 $1,100.76 $1,100.76 2026-05-08
10081 OTHER I&d Pilonidal Complex 17 17 $611.00 $183.30 70% off $38.50 $1,096.27 $1,096.27 2026-05-08
70450 OTHER CT Head Without Contrast 17 17 $1,786.00 $535.80 70% off $38.50 $1,088.56 $1,088.56 2026-05-08
A19303NS OTHER Mastectomy Simple Complete 18 18 $3,565.66 — $130.00 $1,087.15 $1,087.15 2026-05-08
25505 OTHER Clsd Tx Radial Shaft Fx W Mani 17 17 $1,642.00 $492.60 70% off $38.50 $1,081.01 $1,081.01 2026-05-08
64493B-761 OTHER Njx Dx/thr Lmbr/sac Level 1 Bi 17 17 $1,642.00 $492.60 70% off $38.50 $1,081.01 $1,081.01 2026-05-08
12035-360 OTHER Lac Intrm Trnk 12.6 - 20cm 17 17 $913.00 $273.90 70% off $38.50 $1,079.43 $1,079.43 2026-05-08
12035 OTHER Lac Intrm Trnk 12.6 - 20cm 17 17 $913.00 $273.90 70% off $38.50 $1,079.43 $1,079.43 2026-05-08
40704109 OTHER Perflutren LipidMicro0.65MG/ML 17 17 $1,639.50 $491.85 70% off $38.50 $1,079.37 $1,079.37 2026-05-08
49082-761 OTHER Abd Prcntss Dx/thr Wo Imgng Gu 17 17 $1,625.00 $487.50 70% off $38.50 $1,069.82 $1,069.82 2026-05-08
49082-450 OTHER Abd Prcntss Dx/thr Wo Imgng Gu 17 17 $1,625.00 $487.50 70% off $38.50 $1,069.82 $1,069.82 2026-05-08
24071 OTHER Exc Arm/elboww Les Sq 3cm/> 17 17 $1,124.13 $337.24 70% off $38.50 $1,069.66 $1,069.66 2026-05-08
72126 OTHER CT Cervical W Contrast 17 17 $1,701.00 $510.30 70% off $38.50 $1,048.18 $1,048.18 2026-05-08
36430HR8 OTHER Op Blood Transfusion 6-8 Hr 17 17 $1,650.00 $495.00 70% off $38.50 $1,041.60 $1,041.60 2026-05-08
25605 OTHER Cl Tx Dstl Rdl Fx W Manj Wh Pe 17 17 $1,578.00 $473.40 70% off $38.50 $1,038.88 $1,038.88 2026-05-08
78709 OTHER Nm Renal/renogram Hyper 17 17 $1,577.00 $473.10 70% off $38.50 $1,038.22 $1,038.22 2026-05-08
74170 OTHER CT Abdomen W & Without 17 17 $1,653.00 $495.90 70% off $38.50 $1,025.38 $1,025.38 2026-05-08
71270 OTHER CT Chest W & Without 17 17 $1,653.00 $495.90 70% off $38.50 $1,025.38 $1,025.38 2026-05-08
72194 OTHER CT Pelvis W & Without 17 17 $1,653.00 $495.90 70% off $38.50 $1,025.38 $1,025.38 2026-05-08
64640-761 OTHER Dstrj Nrltc Agnt Othr Prphrl 17 17 $1,931.00 $579.30 70% off $38.50 $1,025.08 $1,025.08 2026-05-08
10140 OTHER I&d Hematoma 17 17 $1,545.00 $463.50 70% off $38.50 $1,017.15 $1,017.15 2026-05-08
70487 OTHER CT Sinuses Maxio W 17 17 $1,631.00 $489.30 70% off $38.50 $1,014.93 $1,014.93 2026-05-08
73702R OTHER CT Extr Lower Wo W Right 17 17 $1,630.00 $489.00 70% off $38.50 $1,014.46 $1,014.46 2026-05-08
73702L OTHER CT Extr Lower Wo W Left 17 17 $1,630.00 $489.00 70% off $38.50 $1,014.46 $1,014.46 2026-05-08
24675 OTHER Treat Ulnar Fx 17 17 $1,532.00 $459.60 70% off $38.50 $1,008.59 $1,008.59 2026-05-08
27252 OTHER Closed Tx Hip Dislo W Anesthes 17 17 $1,532.00 $459.60 70% off $38.50 $1,008.59 $1,008.59 2026-05-08
32551 OTHER Tube Thoracostomy 17 17 $1,526.00 $457.80 70% off $38.50 $1,004.64 $1,004.64 2026-05-08
A59514NB OTHER C-section Delivery Only 17 17 $2,410.20 — $130.00 $1,003.55 $1,003.55 2026-05-08
A59514RA OTHER C-section Dlvry Assst Only 17 17 $605.64 — $130.00 $1,003.55 $1,003.55 2026-05-08
A59514NA OTHER C-section Dlvry Assst Only 17 17 $605.64 — $130.00 $1,003.55 $1,003.55 2026-05-08
A59514RB OTHER C-section Delivery Only 17 17 $2,410.20 — $130.00 $1,003.55 $1,003.55 2026-05-08
A59612N OTHER Vag Delivery Af Prev C-section 17 17 $1,196.67 — $130.00 $1,000.53 $1,000.53 2026-05-08
A59612R OTHER Vag Delivery Only Af C-section 17 17 $1,196.67 — $130.00 $1,000.53 $1,000.53 2026-05-08
72133 OTHER CT Spine Lumbar W & Wo Contr 17 17 $1,596.00 $478.80 70% off $38.50 $998.30 $998.30 2026-05-08
73722L OTHER MRI Low Ext Jnt W Left 17 17 $1,500.00 $450.00 70% off $38.50 $987.52 $987.52 2026-05-08
73722R OTHER MRI Low Ext Jnt W Rght 17 17 $1,500.00 $450.00 70% off $38.50 $987.52 $987.52 2026-05-08
72125 OTHER CT Spine Cervical Without 17 17 $1,546.00 $463.80 70% off $38.50 $974.55 $974.55 2026-05-08
73202L OTHER CT Extr Upper W/wo Left 17 17 $1,537.00 $461.10 70% off $38.50 $970.28 $970.28 2026-05-08
70482 OTHER CT Orbit Sella P Fossa W&wo 17 17 $1,537.00 $461.10 70% off $38.50 $970.28 $970.28 2026-05-08
70492 OTHER CT Neck Soft Tissue W & Without 17 17 $1,537.00 $461.10 70% off $38.50 $970.28 $970.28 2026-05-08
73202R OTHER CT Extr Upper W&without Right 17 17 $1,537.00 $461.10 70% off $38.50 $970.28 $970.28 2026-05-08
12032-360 OTHER Lac Intrm Trnk 2.6 - 7.5cm 17 17 $1,561.00 $468.30 70% off $38.50 $967.06 $967.06 2026-05-08
32321008 OTHER Ambulance Sct 17 17 $1,464.00 $439.20 70% off $38.50 $963.83 $963.83 2026-05-08
72129 OTHER CT Spine Thoracic 17 17 $1,500.00 $450.00 70% off $38.50 $952.71 $952.71 2026-05-08
17111-761 OTHER Destruction B9 Lsns 15/> 17 17 $271.00 $81.30 70% off $38.50 $949.60 $949.60 2026-05-08
70486 OTHER CT Sinuses Maxio Without 17 17 $1,483.00 $444.90 70% off $38.50 $944.63 $944.63 2026-05-08
36820792 OTHER Endo Ets Flex45 Articu Lnr Ctt 17 17 $1,433.93 — $38.50 $944.02 $944.02 2026-05-08
12034-360 OTHER Lac Intrm Trnk 7.6 - 12.5cm 17 17 $913.00 $273.90 70% off $38.50 $941.57 $941.57 2026-05-08
12034 OTHER Lac Intrm Trnk 7.6 - 12.5cm 17 17 $913.00 $273.90 70% off $38.50 $941.57 $941.57 2026-05-08
32101002 OTHER Operating Room Cancelled Proce 17 17 $1,430.00 $429.00 70% off $38.50 $941.44 $941.44 2026-05-08
72128 OTHER CT Spine Thoracic Without 17 17 $1,462.00 $438.60 70% off $38.50 $934.65 $934.65 2026-05-08
86366 OTHER MuSK Abs, Serum 17 17 $1,418.00 $425.40 70% off $38.50 $933.54 $933.54 2026-05-08
70543 OTHER MRI Orbit Face Neck W&wo 17 17 $1,417.00 $425.10 70% off $38.50 $932.88 $932.88 2026-05-08
74185 OTHER MRA Abdomen W/wo Cont Material 17 17 $1,409.00 $422.70 70% off $38.50 $927.62 $927.62 2026-05-08
43249 OTHER Esoph Egd Dilation <30mm 17 17 $784.94 $235.48 70% off $38.50 $927.17 $927.17 2026-05-08
99291 OTHER Critical Care 30-74 17 17 $1,401.00 $420.30 70% off $38.50 $922.35 $922.35 2026-05-08
32101010 OTHER Or Level Iii Ea Add 30 Mins 17 17 $1,400.00 $420.00 70% off $38.50 $921.69 $921.69 2026-05-08
64505-761 OTHER Inj Anes Agnt Sphnpltn Gang 17 17 $1,391.00 $417.30 70% off $38.50 $915.76 $915.76 2026-05-08
78708 OTHER Nm Renal/renogram With Lasix 17 17 $1,386.00 $415.80 70% off $38.50 $912.48 $912.48 2026-05-08
73718L OTHER MRI Low Extr Without Left 17 17 $1,384.00 $415.20 70% off $38.50 $911.15 $911.15 2026-05-08
73718R OTHER MRI Low Ext Without Right 17 17 $1,384.00 $415.20 70% off $38.50 $911.15 $911.15 2026-05-08
26725 OTHER Phalangeal Fx Prox W/manip 17 17 $1,369.00 $410.70 70% off $38.50 $901.28 $901.28 2026-05-08
74160 OTHER CT Abdomen W 17 17 $1,378.00 $413.40 70% off $38.50 $894.75 $894.75 2026-05-08
72193 OTHER CT Pelvis W 17 17 $1,378.00 $413.40 70% off $38.50 $894.75 $894.75 2026-05-08
70491 OTHER CT Neck Soft Tissue W 17 17 $1,378.00 $413.40 70% off $38.50 $894.75 $894.75 2026-05-08
71260 OTHER CT Chest W 17 17 $1,378.00 $413.40 70% off $38.50 $894.75 $894.75 2026-05-08
62273-761 OTHER Njx Epidural Blood/clot Patch 17 17 $1,411.00 $423.30 70% off $38.50 $894.43 $894.43 2026-05-08
78451 OTHER Nm Myocard Perf Img Single 17 17 $1,353.00 $405.90 70% off $38.50 $890.75 $890.75 2026-05-08
A59409N OTHER Vaginal Delivery Only 17 17 $1,930.22 — $130.00 $890.21 $890.21 2026-05-08
A59409R OTHER Vaginal Delivery Only 17 17 $1,930.22 — $130.00 $890.21 $890.21 2026-05-08
36814499 OTHER Bronchoscope Bflex 5.0 Disp 17 17 $1,350.00 — $38.50 $888.77 $888.77 2026-05-08
A59426N OTHER Antepartum Care 7/ > Vsts 17 17 $1,310.16 — $130.00 $885.30 $885.30 2026-05-08
73721L OTHER MRI Low Ext Jnt Without Lt 17 17 $1,344.00 $403.20 70% off $38.50 $884.82 $884.82 2026-05-08
73721R OTHER MRI Low Ext Jnt Without Rt 17 17 $1,344.00 $403.20 70% off $38.50 $884.82 $884.82 2026-05-08
73221L OTHER MRI Up Ext Jnt Without Lft 17 17 $1,344.00 $403.20 70% off $38.50 $884.82 $884.82 2026-05-08
73221R OTHER MRI Up Ext Jnt Without Rgh 17 17 $1,344.00 $403.20 70% off $38.50 $884.82 $884.82 2026-05-08
32321007 OTHER Ambulance Als2 17 17 $1,331.00 $399.30 70% off $38.50 $876.26 $876.26 2026-05-08
36430HR6 OTHER Op Blood Transfusion 4-6 Hr 17 17 $1,325.00 $397.50 70% off $38.50 $872.32 $872.32 2026-05-08
A49000NS OTHER Expl Of Abd W/wo Biopsy Spx 17 17 $1,049.94 — $130.00 $872.01 $872.01 2026-05-08
32554-761 OTHER Thoracentesis Wo Imaging Guida 17 17 $1,301.00 $390.30 70% off $38.50 $856.51 $856.51 2026-05-08
77048R OTHER MRI Breast Wo W Uni Right 17 17 $1,297.90 $389.37 70% off $38.50 $854.48 $854.48 2026-05-08
77048L OTHER MRI Breast Wo W Uni Left 17 17 $1,297.90 $389.37 70% off $38.50 $854.48 $854.48 2026-05-08
A15839R OTHER Exci Excess Skin & Sq Tiss 18 18 $2,409.50 — $130.00 $851.57 $851.57 2026-05-08
A15839N OTHER Exci Excess Skin & Sq Tiss 18 18 $2,409.50 — $130.00 $851.57 $851.57 2026-05-08
C8908 HCPCS MRI Breast Wo W Bi Medicare 17 17 $1,287.04 $386.11 70% off $38.50 $847.33 $847.33 2026-05-08
77049 OTHER MRI Breast Wo W Bilateral 17 17 $1,287.04 $386.11 70% off $38.50 $847.33 $847.33 2026-05-08
72132 OTHER CT Spine Lumbar W 17 17 $1,281.00 $384.30 70% off $38.50 $843.35 $843.35 2026-05-08
73201L OTHER CT Extremity Upper W Left 17 17 $1,281.00 $384.30 70% off $38.50 $843.35 $843.35 2026-05-08
73201R OTHER CT Extremit Upper W Right 17 17 $1,281.00 $384.30 70% off $38.50 $843.35 $843.35 2026-05-08
73701R OTHER CT Extremty Lower W Right 17 17 $1,281.00 $384.30 70% off $38.50 $843.35 $843.35 2026-05-08
73701L OTHER CT Extremity Lower W Left 17 17 $1,281.00 $384.30 70% off $38.50 $843.35 $843.35 2026-05-08
70552C OTHER MRI Pituitary W 17 17 $1,275.71 $382.71 70% off $38.50 $839.86 $839.86 2026-05-08
70552D OTHER MRI IACs W 17 17 $1,275.71 $382.71 70% off $38.50 $839.86 $839.86 2026-05-08
A49594NS OTHER Repair Hernia 3 To 10 Inc Or S 17 17 $2,920.00 — $130.00 $836.59 $836.59 2026-05-08
11404-761 OTHER Exc B9 Lsn T/a/l 3.1-4.0cm 17 17 $425.00 $127.50 70% off $38.50 $834.92 $834.92 2026-05-08
11404 OTHER Exc B9 Lsn T/a/l 3.1-4.0cm 17 17 $425.00 $127.50 70% off $38.50 $834.92 $834.92 2026-05-08
46285 OTHER Remove Anal Fistula 2nd Stage 17 17 $1,264.85 $379.45 70% off $38.50 $832.72 $832.72 2026-05-08
93308 OTHER US Echo 2d Limited 17 17 $1,258.00 $377.40 70% off $38.50 $828.21 $828.21 2026-05-08
71550 OTHER MRI Chest Without 17 17 $1,254.16 $376.25 70% off $38.50 $825.67 $825.67 2026-05-08
C8924 HCPCS 2d Tte W Or Without Fol W/con,fu 17 17 $1,252.00 $375.60 70% off $38.50 $824.25 $824.25 2026-05-08
31001005 OTHER Vaginal Delivery 17 17 $1,250.00 $375.00 70% off $38.50 $822.94 $822.94 2026-05-08
10121 OTHER Incise Removal Fb Sq Tiss Comp 17 17 $350.00 $105.00 70% off $38.50 $822.68 $822.68 2026-05-08
49083-761 OTHER Abd Paracentesis W/imaging 17 17 $1,237.00 $371.10 70% off $38.50 $814.38 $814.38 2026-05-08
10061 OTHER I&d Sq Abscess Complex 17 17 $380.00 $114.00 70% off $38.50 $812.02 $812.02 2026-05-08
62323-761 OTHER Njx Intrlmnr (cdl) Lmbr/sc W I 17 17 $1,228.00 $368.40 70% off $38.50 $808.46 $808.46 2026-05-08
10061-360 OTHER I&d Sq Abscess Complex 17 17 $350.00 $105.00 70% off $38.50 $806.52 $806.52 2026-05-08
72195 OTHER MRI Pelvis Without 17 17 $1,220.00 $366.00 70% off $38.50 $803.18 $803.18 2026-05-08
40701957 OTHER Fltcsn 220 Mcg Hfa 12gm Inhlr 17 17 $1,212.50 $363.75 70% off $38.50 $798.25 $798.25 2026-05-08
64634 OTHER Destroy Cer/thor Fac Jnt Addl 17 17 $1,205.00 $361.50 70% off $38.50 $793.31 $793.31 2026-05-08
RM171T OTHER Nursery Transfer 17 17 $1,200.00 $360.00 70% off $38.50 $790.02 $790.02 2026-05-08
36815562 OTHER Endo Resolution Clip 17 17 $1,192.91 — $38.50 $785.35 $785.35 2026-05-08
62321-761 OTHER Njx Intrlmnl Crv/thrc W Imagin 17 17 $1,142.00 $342.60 70% off $38.50 $780.28 $780.28 2026-05-08
64635-761 OTHER Destroy Lumb/sac Facet Joint 17 17 $1,181.00 $354.30 70% off $38.50 $777.51 $777.51 2026-05-08
40701949 OTHER Iprtrpm Hfa17 Mcg 12.9gm Inhlr 17 17 $1,180.50 $354.15 70% off $38.50 $777.18 $777.18 2026-05-08
34653997 OTHER Auto Pulse Life Band 17 17 $1,179.72 — $38.50 $776.66 $776.66 2026-05-08
64495-761 OTHER Njx Ds/thr Agt Pvr L/sac L Iii 17 17 $349.00 $104.70 70% off $38.50 $765.62 $765.62 2026-05-08
36800545 OTHER Tray Pneumothorax Kit Arrow 17 17 $1,157.54 — $38.50 $762.07 $762.07 2026-05-08
RM120T OTHER Semi Private Telemetry Room 17 17 $1,150.00 $345.00 70% off $38.50 $757.11 $757.11 2026-05-08
70540 OTHER MRI Orbit Face Neck Without 17 17 $1,150.00 $345.00 70% off $38.50 $757.11 $757.11 2026-05-08
70544 OTHER Mrv Brain Without 17 17 $1,150.00 $345.00 70% off $38.50 $757.11 $757.11 2026-05-08
73200L OTHER CT Extr Upper Without Left 17 17 $1,148.00 $344.40 70% off $38.50 $755.78 $755.78 2026-05-08
72131 OTHER CT Spine Lumbar Without 17 17 $1,148.00 $344.40 70% off $38.50 $755.78 $755.78 2026-05-08
11644 OTHER Exc Malg Lsn F/e/e/n/l 3.1-4cm 17 17 $536.00 $160.80 70% off $38.50 $755.78 $755.78 2026-05-08
73700L OTHER CT Extr Lower Without Left 17 17 $1,148.00 $344.40 70% off $38.50 $755.78 $755.78 2026-05-08
73700R OTHER CT Extr Lower Without Right 17 17 $1,148.00 $344.40 70% off $38.50 $755.78 $755.78 2026-05-08
73200R OTHER CT Extr Upper Without Right 17 17 $1,148.00 $344.40 70% off $38.50 $755.78 $755.78 2026-05-08
71250 OTHER CT Chest Without 17 17 $1,148.00 $344.40 70% off $38.50 $755.78 $755.78 2026-05-08
A47562NS OTHER Laparoscopic Cholecystectomy 17 17 $2,750.00 — $130.00 $749.89 $749.89 2026-05-08
40701388 OTHER Conj Estrog Vag Crm 17 17 $1,125.50 $337.65 70% off $38.50 $740.98 $740.98 2026-05-08
70548 OTHER MRA Neck W Contrast 17 17 $1,122.16 $336.65 70% off $38.50 $738.77 $738.77 2026-05-08
99285 OTHER Ed Level 5 17 17 $1,081.00 $324.30 70% off $38.50 $738.47 $738.47 2026-05-08
40701012 OTHER Rabies Immune Glob 2ml #90375 17 17 $1,118.50 $335.55 70% off $38.50 $730.54 $730.54 2026-05-08
51720 OTHER Bladder Instill Anticarcinoge 17 17 $1,103.00 $330.90 70% off $38.50 $726.16 $726.16 2026-05-08
RM112 OTHER Labor And Delivery 17 17 $1,100.00 $330.00 70% off $38.50 $724.18 $724.18 2026-05-08
A49520NS OTHER Recur Inguinal Hernia Reducibl 17 17 $2,375.62 — $130.00 $719.85 $719.85 2026-05-08
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