Hospital

CALDWELL MEDICAL CENTER

Princeton, KY · CCN 181322 · Rates published

1,938 distinct procedures filed

11 distinct payers

122,106 rate rows

2026-07-15 last MRF observed

Data quality

121,690 of 122,106 rate rows are consumer-grade (99.7%)

416 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	272
per-diem day rate — not a per-procedure price	78
placeholder amount (≤ $0.02) — excluded from medians	66

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

Source MRF file	https://caldwellmedical.com/wp-content/uploads/2026/03/610432526_caldwell-county-hospital-inc._standardcharges.xlsx
Found on page	https://caldwellmedical.com/price-transparency/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-11
Content fingerprint	4714db314ae478fe… · 2,056,749 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
33285 HCPCS	Insertion Subq Cardiac Rhythm Monitor	11	$2,000.00	$18,239.72	$7,725.06	nat. median $9,474 0.8× median
J3101 HCPCS	Tenecteplase Inj 50 Mg	11	$183.23	$15,513.40	$6,570.38	nat. median $498 outlier · 13.2×
J7169 HCPCS	Andexxa Factor Xa 400 Mg Bolus	10	$3,531.53	$15,310.20	$5,945.94	nat. median $260 outlier · 22.9×
J1569 HCPCS	Immune Globuli (ivig) Inf 30 Gm/300 Ml	11	$46.34	$10,384.82	$4,398.28	nat. median $946 outlier · 4.7×
65820 HCPCS	Omni Procedure	11	$662.45	$9,565.63	$4,051.32	nat. median $4,182 1.0× median
A7034 HCPCS	Assert Iq El+ Icm	10	$2,726.85	$7,883.75	$3,339.00	nat. median $67 outlier · 49.6×
C1764 HCPCS	Reveal Linq Loop Recorder	10	$2,724.28	$7,876.31	$3,335.85	nat. median $7,993 outlier · 0.4×
28825 HCPCS	Amputation At Interphalangeal Joint	11	$264.98	$7,657.07	$3,243.00	nat. median $3,245 1.0× median
50590 HCPCS	Fragmenting Of Kidney Stone	11	$697.98	$7,583.96	$3,212.03	nat. median $4,399 0.7× median
J2997 HCPCS	Alteplase Inj 100 Mg	11	$91.95	$17,962.93	$3,093.25	nat. median $428 outlier · 7.2×
L8699 HCPCS	Lapband Lg	10	$2,055.43	$6,827.62	$2,891.70	nat. median $2,255 1.3× median
J1306 HCPCS	Inclisiran Inj 284 Mg/1.5 Ml	11	$12.44	$6,640.20	$2,812.32	nat. median $25 outlier · 111.6×
J0630 HCPCS	Calcitonin-salmon Inj 400 Iu/2 Ml	11	$1,119.56	$6,399.68	$2,710.45	nat. median $1,663 1.6× median
37785 HCPCS	Ligate/divide/excise Vein	11	$309.22	$6,399.10	$2,710.21	nat. median $3,370 0.8× median
43770 HCPCS	Lap Band Placement	11	$988.16	$26,843.68	$2,211.94	nat. median $10,492 outlier · 0.2×
78452 HCPCS	Nm Myo Pef Spc R/s Wm Ef #78452	11	$378.61	$5,071.35	$2,147.86	nat. median $1,464 1.5× median
74174 HCPCS	CTA Abd/pelvis #74174	11	$325.00	$5,247.82	$2,130.00	nat. median $549 outlier · 3.9×
J3111 HCPCS	Romosozmab-aqqg 210 Mg/2.34 Ml	11	$11.87	$4,976.29	$2,107.61	nat. median $19 outlier · 110.9×
51102 HCPCS	Insertion Of Suprapubic Catheter	11	$219.93	$4,850.57	$2,054.36	nat. median $2,309 0.9× median
74178 HCPCS	CT Abd/pelvis W/wo #74178	11	$301.73	$4,993.72	$2,026.86	nat. median $539 outlier · 3.8×
C1765 HCPCS	Gynecare Interceed 5x6	10	$1,632.88	$4,720.91	$1,999.44	nat. median $845 outlier · 2.4×
74177 HCPCS	CT Abd/pelvis With #74177	11	$268.15	$4,430.61	$1,798.30	nat. median $501 outlier · 3.6×
27842 HCPCS	Cl Tx Ankle Dislocation W Manipulation	11	$375.00	$4,028.28	$1,706.09	nat. median $1,677 1.0× median
95811 HCPCS	Sl Psg W/bipap Or Cpap	11	$626.08	$3,916.70	$1,658.84	nat. median $1,412 1.2× median
29888 HCPCS	Allograft	11	$827.90	$3,711.31	$1,571.85	nat. median $7,221 outlier · 0.2×
28011 HCPCS	Tenotomy, Percutaneous, Toe; Mult Tendo	11	$294.85	$3,686.87	$1,561.50	nat. median $1,869 0.8× median
28010 HCPCS	Tenotomy, Percutaneous, Toe; Single Tend	11	$215.91	$3,686.87	$1,561.50	nat. median $1,762 0.9× median
72158 HCPCS	MRI Lumbar Spine W/wo #72158	11	$285.55	$3,778.90	$1,533.79	nat. median $616 outlier · 2.5×
72156 HCPCS	MRI Cervical W/wo #72156	11	$285.27	$3,778.90	$1,533.79	nat. median $625 outlier · 2.5×
25565 HCPCS	Clsd Trmt Rad/ulnar Shft Fact; W/manipul	11	$375.00	$3,579.49	$1,516.02	nat. median $1,686 0.9× median
70553 HCPCS	MRI Brain W/wo #70553	11	$284.40	$3,708.24	$1,505.11	nat. median $616 outlier · 2.4×
J0897 HCPCS	Denosumab Inj 60 Mg/ml	11	$28.87	$3,552.93	$1,504.77	nat. median $86 outlier · 17.5×
72157 HCPCS	MRI Thoracic Spine W/wo #72157	11	$285.85	$3,668.84	$1,489.11	nat. median $624 outlier · 2.4×
73723 HCPCS	MRI Lower Ext Joint W/wo #73723 Lt,left Side Of Body	11	$340.07	$3,708.24	$1,482.24	nat. median $756 2.0× median
73223 HCPCS	MRI Upper Ext Joint W/wo #73223 Lt,left Side Of Body	11	$341.53	$3,600.23	$1,461.26	nat. median $757 1.9× median
11044 HCPCS	Debride Bone; First 20 Sq Cm Or Less	11	$294.43	$3,381.08	$1,431.99	nat. median $1,716 0.8× median
11420 HCPCS	Exc B9 Les Mrgn Xcp Sk Tg S/n/h/f/g .5<	11	$112.56	$3,282.60	$1,390.28	nat. median $1,633 0.9× median
28024 HCPCS	Arthrotomy; Interphalangeal Joint	11	$428.78	$3,254.08	$1,378.20	nat. median $1,797 0.8× median
25605 HCPCS	Closed Reduct W Manipulation Radius/ulna	11	$375.00	$3,206.93	$1,358.23	nat. median $1,664 0.8× median
23655 HCPCS	Shoulder Disloc Simp Redu Req Anesthesia	11	$375.00	$3,206.93	$1,358.23	nat. median $1,810 0.8× median
81162 HCPCS	Brac 1/2	11	$876.67	$2,534.57	$1,347.79	nat. median $1,880 0.7× median
J0881 HCPCS	Darbepoetin Inj 100 Mcg/ml	11	$2.96	$7,905.00	$1,341.79	nat. median $899 1.5× median
95810 HCPCS	Sl Psg 1st Night	11	$500.00	$3,109.22	$1,316.84	nat. median $1,446 0.9× median
71275 HCPCS	CTA Chest #71275	11	$250.99	$3,198.58	$1,298.24	nat. median $365 outlier · 3.6×
74176 HCPCS	CT Abd/pelvis Without #74176	11	$165.74	$3,065.26	$1,260.42	nat. median $333 outlier · 3.8×
11047 HCPCS	Debride Bone; Ech Addtl 20 Sq Ccm	11	$118.73	$2,975.00	$1,260.00	nat. median $483 outlier · 2.6×
J1439 HCPCS	Injectafer 750 Mg/15 Ml Inj	11	$1.10	$2,959.82	$1,253.57	nat. median $5 outlier · 249.5×
92960 HCPCS	Cardioversion Electrica	11	$141.94	$3,592.54	$1,242.60	nat. median $846 1.5× median
43840 HCPCS	Repair Of Stomach Lesion	11	$995.15	$2,877.14	$1,218.55	nat. median $4,173 outlier · 0.3×
44143 HCPCS	Partial Removal Of Colon	11	$994.35	$2,874.81	$1,217.57	nat. median $4,010 outlier · 0.3×

Other procedures at this hospital

Browse this hospital's 1,938 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

33285	HCPCS	Insertion Subq Cardiac Rhythm Monitor	32	11	$21,458.49	$16,093.87 25% off	$2,000.00	$18,239.72	$7,725.06	2026-07-15
J3101	HCPCS	Tenecteplase Inj 50 Mg	32	11	$18,251.06	$13,688.30 25% off	$183.23	$15,513.40	$6,570.38	2026-07-15
J7169	HCPCS	Andexxa Factor Xa 400 Mg Bolus	60	10	$15,012.00	$11,259.00 25% off	$3,531.53	$15,310.20	$5,945.94	2026-07-15
J1569	HCPCS	Immune Globuli (ivig) Inf 30 Gm/300 Ml	32	11	$12,217.44	$9,163.08 25% off	$46.34	$10,384.82	$4,398.28	2026-07-15
65820	HCPCS	Omni Procedure	32	11	$11,253.68	$8,440.26 25% off	$662.45	$9,565.63	$4,051.32	2026-07-15
A7034	HCPCS	Assert Iq El+ Icm	30	10	$9,275.00	$6,956.25 25% off	$2,726.85	$7,883.75	$3,339.00	2026-07-15
C1764	HCPCS	Reveal Linq Loop Recorder	30	10	$9,266.25	$6,949.69 25% off	$2,724.28	$7,876.31	$3,335.85	2026-07-15
28825	HCPCS	Amputation At Interphalangeal Joint	32	11	$9,008.32	$6,756.24 25% off	$264.98	$7,657.07	$3,243.00	2026-07-15
50590	HCPCS	Fragmenting Of Kidney Stone	32	11	$8,922.30	$6,691.73 25% off	$697.98	$7,583.96	$3,212.03	2026-07-15
J2997	HCPCS	Alteplase Inj 100 Mg	92	11	$8,592.36	$6,444.27 25% off	$91.95	$17,962.93	$3,093.25	2026-07-15
L8699	HCPCS	Lapband Lg	60	10	$7,511.88	$5,633.91 25% off	$2,055.43	$6,827.62	$2,891.70	2026-07-15
J1306	HCPCS	Inclisiran Inj 284 Mg/1.5 Ml	32	11	$7,812.00	$5,859.00 25% off	$12.44	$6,640.20	$2,812.32	2026-07-15
J0630	HCPCS	Calcitonin-salmon Inj 400 Iu/2 Ml	32	11	$7,529.04	$5,646.78 25% off	$1,119.56	$6,399.68	$2,710.45	2026-07-15
37785	HCPCS	Ligate/divide/excise Vein	32	11	$7,528.35	$5,646.26 25% off	$309.22	$6,399.10	$2,710.21	2026-07-15
43770	HCPCS	Lap Band Placement	62	11	$3,361.10	$2,520.83 25% off	$988.16	$26,843.68	$2,211.94	2026-07-15
78452	HCPCS	Nm Myo Pef Spc R/s Wm Ef #78452	32	11	$5,966.29	$4,474.72 25% off	$378.61	$5,071.35	$2,147.86	2026-07-15
74174	HCPCS	CTA Abd/pelvis #74174	32	11	$6,173.91	$4,630.43 25% off	$325.00	$5,247.82	$2,130.00	2026-07-15
J3111	HCPCS	Romosozmab-aqqg 210 Mg/2.34 Ml	32	11	$5,854.46	$4,390.85 25% off	$11.87	$4,976.29	$2,107.61	2026-07-15
51102	HCPCS	Insertion Of Suprapubic Catheter	32	11	$5,706.55	$4,279.91 25% off	$219.93	$4,850.57	$2,054.36	2026-07-15
74178	HCPCS	CT Abd/pelvis W/wo #74178	32	11	$5,874.96	$4,406.22 25% off	$301.73	$4,993.72	$2,026.86	2026-07-15
C1765	HCPCS	Gynecare Interceed 5x6	30	10	$5,554.01	$4,165.51 25% off	$1,632.88	$4,720.91	$1,999.44	2026-07-15
74177	HCPCS	CT Abd/pelvis With #74177	32	11	$5,212.48	$3,909.36 25% off	$268.15	$4,430.61	$1,798.30	2026-07-15
27842	HCPCS	Cl Tx Ankle Dislocation W Manipulation	32	11	$4,739.15	$3,554.36 25% off	$375.00	$4,028.28	$1,706.09	2026-07-15
95811	HCPCS	Sl Psg W/bipap Or Cpap	32	11	$4,607.88	$3,455.91 25% off	$626.08	$3,916.70	$1,658.84	2026-07-15
29888	HCPCS	Allograft	32	11	$4,366.25	$3,274.69 25% off	$827.90	$3,711.31	$1,571.85	2026-07-15
28010	HCPCS	Tenotomy, Percutaneous, Toe; Single Tend	32	11	$4,337.49	$3,253.12 25% off	$215.91	$3,686.87	$1,561.50	2026-07-15
28011	HCPCS	Tenotomy, Percutaneous, Toe; Mult Tendo	32	11	$4,337.49	$3,253.12 25% off	$294.85	$3,686.87	$1,561.50	2026-07-15
72156	HCPCS	MRI Cervical W/wo #72156	32	11	$4,445.77	$3,334.33 25% off	$285.27	$3,778.90	$1,533.79	2026-07-15
72158	HCPCS	MRI Lumbar Spine W/wo #72158	32	11	$4,445.77	$3,334.33 25% off	$285.55	$3,778.90	$1,533.79	2026-07-15
25565	HCPCS	Clsd Trmt Rad/ulnar Shft Fact; W/manipul	32	11	$4,211.16	$3,158.37 25% off	$375.00	$3,579.49	$1,516.02	2026-07-15
70553	HCPCS	MRI Brain W/wo #70553	32	11	$4,362.63	$3,271.97 25% off	$284.40	$3,708.24	$1,505.11	2026-07-15
J0897	HCPCS	Denosumab Inj 60 Mg/ml	32	11	$4,179.92	$3,134.94 25% off	$28.87	$3,552.93	$1,504.77	2026-07-15
72157	HCPCS	MRI Thoracic Spine W/wo #72157	32	11	$4,316.28	$3,237.21 25% off	$285.85	$3,668.84	$1,489.11	2026-07-15
73723	HCPCS	MRI Lower Ext Joint W/wo #73723 Lt,left Side Of Body	64	11	$4,299.10	$3,224.32 25% off	$340.07	$3,708.24	$1,482.24	2026-07-15
73223	HCPCS	MRI Upper Ext Joint W/wo #73223 Lt,left Side Of Body	64	11	$4,235.56	$3,176.67 25% off	$341.53	$3,600.23	$1,461.26	2026-07-15
11044	HCPCS	Debride Bone; First 20 Sq Cm Or Less	32	11	$3,977.74	$2,983.31 25% off	$294.43	$3,381.08	$1,431.99	2026-07-15
11420	HCPCS	Exc B9 Les Mrgn Xcp Sk Tg S/n/h/f/g .5<	32	11	$3,861.88	$2,896.41 25% off	$112.56	$3,282.60	$1,390.28	2026-07-15
28024	HCPCS	Arthrotomy; Interphalangeal Joint	32	11	$3,828.33	$2,871.25 25% off	$428.78	$3,254.08	$1,378.20	2026-07-15
23655	HCPCS	Shoulder Disloc Simp Redu Req Anesthesia	32	11	$3,772.86	$2,829.65 25% off	$375.00	$3,206.93	$1,358.23	2026-07-15
25605	HCPCS	Closed Reduct W Manipulation Radius/ulna	32	11	$3,772.86	$2,829.65 25% off	$375.00	$3,206.93	$1,358.23	2026-07-15
81162	HCPCS	Brac 1/2	32	11	$2,981.85	$2,236.39 25% off	$876.67	$2,534.57	$1,347.79	2026-07-15
J0881	HCPCS	Darbepoetin Inj 100 Mcg/ml	92	11	$3,727.20	$2,795.40 25% off	$2.96	$7,905.00	$1,341.79	2026-07-15
95810	HCPCS	Sl Psg 1st Night	62	11	$3,657.90	$2,743.43 25% off	$500.00	$3,109.22	$1,316.84	2026-07-15
71275	HCPCS	CTA Chest #71275	32	11	$3,763.04	$2,822.28 25% off	$250.99	$3,198.58	$1,298.24	2026-07-15
74176	HCPCS	CT Abd/pelvis Without #74176	56	11	$3,606.19	$2,704.64 25% off	$165.74	$3,065.26	$1,260.42	2026-07-15
11047	HCPCS	Debride Bone; Ech Addtl 20 Sq Ccm	32	11	$3,500.00	$2,625.00 25% off	$118.73	$2,975.00	$1,260.00	2026-07-15
J1439	HCPCS	Injectafer 750 Mg/15 Ml Inj	32	11	$3,482.14	$2,611.61 25% off	$1.10	$2,959.82	$1,253.57	2026-07-15
92960	HCPCS	Cardioversion Electrica	62	11	$1,772.83	$1,329.62 25% off	$141.94	$3,592.54	$1,242.60	2026-07-15
43840	HCPCS	Repair Of Stomach Lesion	32	11	$3,384.87	$2,538.65 25% off	$995.15	$2,877.14	$1,218.55	2026-07-15
44143	HCPCS	Partial Removal Of Colon	32	11	$3,382.13	$2,536.60 25% off	$994.35	$2,874.81	$1,217.57	2026-07-15
44140	HCPCS	Partial Removal Of Colon	32	11	$3,336.99	$2,502.74 25% off	$981.08	$2,836.44	$1,201.32	2026-07-15
75574	HCPCS	CTA Coronary #75574	32	11	$3,448.28	$2,586.21 25% off	$292.36	$2,931.04	$1,189.66	2026-07-15
J7325	HCPCS	Hylan G-f 20 Inj 48 Mg/6 Ml	32	11	$3,299.08	$2,474.31 25% off	$7.41	$2,804.22	$1,187.67	2026-07-15
93660	HCPCS	Rt Tilt Table Test	32	11	$3,254.75	$2,441.06 25% off	$153.42	$2,766.54	$1,171.71	2026-07-15
93306	HCPCS	US Complete Echo #93306	32	11	$3,233.03	$2,424.77 25% off	$176.63	$2,748.08	$1,163.89	2026-07-15
73221	HCPCS	MRI Upper Ext Joint Without #73221 Lt,left Side Of Body	64	11	$3,221.85	$2,416.39 25% off	$183.54	$2,738.57	$1,159.87	2026-07-15
72148	HCPCS	MRI Lumbar Spine Without #72148	32	11	$3,221.85	$2,416.39 25% off	$172.35	$2,738.57	$1,159.87	2026-07-15
11422	HCPCS	Exc B9 Les Mrgn Xcp Sk Tg S/n/h/f/g1.1-2	58	11	$3,861.88	$2,896.41 25% off	$148.69	$3,282.60	$1,135.39	2026-07-15
71270	HCPCS	CT Lung W/wo #71270	32	11	$3,218.96	$2,414.22 25% off	$175.03	$2,736.12	$1,110.55	2026-07-15
81445	HCPCS	Targeted Genomic Seq Analysis	32	11	$3,380.33	$2,535.25 25% off	$388.64	$2,873.28	$1,109.83	2026-07-15
C8911	HCPCS	MRA Chest W/wo #c8911	30	10	$3,072.75	$2,304.56 25% off	$525.00	$2,611.84	$1,106.19	2026-07-15
44120	HCPCS	Removal Of Small Intestine	32	11	$3,041.74	$2,281.31 25% off	$894.27	$2,585.48	$1,095.03	2026-07-15
73721	HCPCS	MRI Lower Ext Joint Without #73721 Lt,left Side Of Body	64	11	$3,028.66	$2,271.50 25% off	$182.97	$2,574.36	$1,090.32	2026-07-15
36569	HCPCS	Picc Line Insertion > 5 Yrs Old	42	11	$2,990.88	$2,243.16 25% off	$82.08	$2,542.25	$1,076.72	2026-07-15
74170	HCPCS	CT Abdomen W/wo #74170	32	11	$3,115.06	$2,336.30 25% off	$230.57	$2,647.80	$1,074.70	2026-07-15
49329	HCPCS	Unlisted Laproscopic Px Abd Pertoneum Om	30	10	$2,975.30	$2,231.48 25% off	$874.74	$2,529.00	$1,071.11	2026-07-15
C1889	HCPCS	Omni Stat	30	10	$2,975.00	$2,231.25 25% off	$874.65	$2,528.75	$1,071.00	2026-07-15
0200	RC	—	4	2	$1,415.30	$1,061.48 25% off	$904.24	$1,203.00	$1,053.62	2026-07-15
J1745	HCPCS	inFLIXimab Inj 100 Mg	32	11	$2,814.76	$2,111.07 25% off	$31.77	$2,392.55	$1,013.31	2026-07-15
95805	HCPCS	Sl Mslt	32	11	$2,799.59	$2,099.69 25% off	$422.26	$2,379.65	$1,007.85	2026-07-15
73220	HCPCS	MRI Upper Ext W/wo #73220 Lt,left Side Of Body	64	11	$2,792.52	$2,094.39 25% off	$362.20	$2,373.64	$1,005.31	2026-07-15
70543	HCPCS	MRI Orbit/face/neck W/wo #70543	32	11	$2,792.52	$2,094.39 25% off	$301.37	$2,373.64	$1,005.31	2026-07-15
49653	HCPCS	Laproscopic Abd Hernia Procedure	32	11	$2,776.95	$2,082.71 25% off	$816.43	$2,360.41	$999.70	2026-07-15
49505	HCPCS	Rpr 1st Ingun Hernia Age >5 Years Reduci	64	11	$2,737.12	$503.28 82% off	$384.78	$3,540.68	$986.87	2026-07-15
72131	HCPCS	CT Lumbar Spine Without #72131	32	11	$2,858.33	$2,143.75 25% off	$116.82	$2,429.58	$986.12	2026-07-15
44005	HCPCS	Freeing Of Bowel Adhesion	32	11	$2,719.23	$2,039.42 25% off	$799.45	$2,311.35	$978.92	2026-07-15
C8914	HCPCS	MRA Low Ext W/wo #c8914	30	10	$2,711.18	$2,033.39 25% off	$525.00	$2,304.50	$976.02	2026-07-15
74183	HCPCS	MRI Abdomen W/wo #74183	32	11	$2,711.18	$2,033.39 25% off	$300.69	$2,304.50	$976.02	2026-07-15
71552	HCPCS	MRI Chest W/wo #71552	32	11	$2,711.18	$2,033.39 25% off	$414.08	$2,304.50	$976.02	2026-07-15
C8920	HCPCS	MRA Pelvis W/wo #c8920	30	10	$2,711.18	$2,033.39 25% off	$525.00	$2,304.50	$976.02	2026-07-15
70549	HCPCS	MRA Neck W/wo #70549	32	11	$2,711.18	$2,033.39 25% off	$305.65	$2,304.50	$976.02	2026-07-15
78472	HCPCS	Nm Mugascan #78472	32	11	$2,664.17	$1,998.13 25% off	$184.26	$2,264.54	$959.10	2026-07-15
70544	HCPCS	MRA Head Without #70544	32	11	$2,610.75	$1,958.06 25% off	$191.44	$2,219.14	$939.87	2026-07-15
49566	HCPCS	Repair Incarc Inc Hernia	32	11	$2,595.60	$1,946.70 25% off	$763.11	$2,206.26	$934.42	2026-07-15
70546	HCPCS	MRA Head W/wo #70546	32	11	$2,575.90	$1,931.93 25% off	$290.81	$2,189.52	$927.32	2026-07-15
73720	HCPCS	MRI Lower Ext W/wo #73720 Lt,left Side Of Body	64	11	$2,575.62	$1,931.72 25% off	$299.63	$2,189.28	$927.22	2026-07-15
49561	HCPCS	Rep Incarc Inc Hernia	32	11	$2,575.00	$1,931.25 25% off	$757.05	$2,188.75	$927.00	2026-07-15
43771	HCPCS	Lap Revise Gastric Adj Device	32	11	$2,548.43	$1,911.32 25% off	$749.24	$2,166.17	$917.43	2026-07-15
72132	HCPCS	CT Lumbar Spine With #72132	32	11	$2,650.52	$1,987.89 25% off	$151.35	$2,252.94	$914.43	2026-07-15
72125	HCPCS	CT Cervical Spine Without #72125	32	11	$2,645.38	$1,984.04 25% off	$117.40	$2,248.57	$912.66	2026-07-15
78227	HCPCS	Nm Hida With Pharm Intervent #78227	32	11	$2,533.18	$1,899.89 25% off	$336.78	$2,153.20	$911.94	2026-07-15
73718	HCPCS	MRI Lower Ext Without #73718 Lt,left Side Of Body	64	11	$2,529.45	$1,897.09 25% off	$198.68	$2,150.03	$910.60	2026-07-15
28193	HCPCS	Rmvl Fb Foot Complicated	62	11	$1,070.17	$802.63 25% off	$314.63	$3,282.60	$909.64	2026-07-15
70551	HCPCS	MRI Brain Without #70551	56	11	$2,758.30	$2,068.73 25% off	$175.55	$2,344.56	$905.60	2026-07-15
72141	HCPCS	MRI Cervical Without #72141	32	11	$2,509.33	$1,882.00 25% off	$171.47	$2,132.93	$903.36	2026-07-15
73218	HCPCS	MRI Upper Ext Without #73218 Lt,left Side Of Body	64	11	$2,509.33	$1,882.00 25% off	$269.11	$2,132.93	$903.36	2026-07-15
72146	HCPCS	MRI Thoracic Spine Without #72146	32	11	$2,509.33	$1,882.00 25% off	$171.19	$2,132.93	$903.36	2026-07-15
C1783	HCPCS	Glaucoma Stent	30	10	$2,493.75	$1,870.31 25% off	$733.17	$2,119.69	$897.75	2026-07-15
71260	HCPCS	CT Lung With #71260	32	11	$2,543.97	$1,907.98 25% off	$149.39	$2,162.37	$882.91	2026-07-15
43774	HCPCS	Removal Of Lap Gastric Restrictive Devic	32	11	$2,441.64	$1,831.23 25% off	$717.84	$2,075.39	$878.99	2026-07-15
70552	HCPCS	MRI Brain With #70552	32	11	$2,436.24	$1,827.18 25% off	$240.68	$2,070.80	$877.05	2026-07-15
72147	HCPCS	MRI Thoracic Spine With #72147	32	11	$2,436.24	$1,827.18 25% off	$242.72	$2,070.80	$877.05	2026-07-15
72149	HCPCS	MRI Lumbar Spine With #72149	32	11	$2,436.24	$1,827.18 25% off	$241.26	$2,070.80	$877.05	2026-07-15
70470	HCPCS	CT Head W/wo #70470	32	11	$2,489.66	$1,867.25 25% off	$155.32	$2,116.21	$873.14	2026-07-15
93017	HCPCS	Rt Cardiac Stress-drug Study	62	11	$2,419.24	$1,814.43 25% off	$34.06	$2,056.35	$870.93	2026-07-15
19303	HCPCS	Mastectomy Simple Complete	32	11	$2,408.19	$1,806.14 25% off	$708.01	$2,046.96	$866.95	2026-07-15
43800	HCPCS	Resect Of Colon/rectum	32	11	$2,389.60	$1,792.20 25% off	$702.54	$2,031.16	$860.26	2026-07-15
70486	HCPCS	CT Maxillofacial Sinuses Without #70486	32	11	$2,364.14	$1,773.11 25% off	$114.81	$2,009.52	$850.55	2026-07-15
43772	HCPCS	Lap Removal Gastric Adj Device	32	11	$2,361.72	$1,771.29 25% off	$694.35	$2,007.46	$850.22	2026-07-15
99291	HCPCS	Critical Care Time, First 30-74 Min	32	11	$2,325.07	$1,743.80 25% off	$285.92	$1,976.31	$837.03	2026-07-15
74160	HCPCS	CT Abdomen With #74160	32	11	$2,324.12	$1,743.09 25% off	$205.07	$1,975.50	$836.68	2026-07-15
59409	HCPCS	Vaginal Delivery	32	11	$2,321.78	$1,741.34 25% off	$375.00	$1,973.51	$835.84	2026-07-15
71250	HCPCS	CT Lung Without #71250	32	11	$2,314.34	$1,735.76 25% off	$119.40	$1,967.19	$833.16	2026-07-15
81229	HCPCS	Snp Chromosomal Varients	32	11	$1,940.57	$1,455.43 25% off	$9.64	$1,649.48	$825.27	2026-07-15
70548	HCPCS	MRA Neck With #70548	32	11	$2,289.16	$1,716.87 25% off	$219.28	$1,945.79	$824.10	2026-07-15
72197	HCPCS	MRI Pelvis W/wo #72197	58	11	$2,792.52	$2,094.39 25% off	$269.32	$2,373.64	$821.00	2026-07-15
72193	HCPCS	CT Pelvis With #72193	32	11	$2,256.43	$1,692.32 25% off	$200.90	$1,917.97	$812.31	2026-07-15
74185	HCPCS	MRA Abd W/wo #74185	32	11	$2,241.90	$1,681.43 25% off	$298.97	$1,905.62	$807.08	2026-07-15
72142	HCPCS	MRI Cervical With #72142	32	11	$2,240.90	$1,680.68 25% off	$245.06	$1,904.76	$806.72	2026-07-15
72133	HCPCS	CT Lumbar Spine W/wo #72133	32	11	$2,229.96	$1,672.47 25% off	$175.98	$1,895.47	$802.79	2026-07-15
64415	HCPCS	Injection Of Anesthetic Agent, Brachial	32	11	$2,229.83	$1,672.37 25% off	$140.42	$1,895.36	$802.74	2026-07-15
38745	HCPCS	Axillary Lymphadenectomy	32	11	$2,226.86	$1,670.15 25% off	$654.70	$1,892.83	$801.67	2026-07-15
73700	HCPCS	CT Extremity Lower Without #73700 Lt,left Side Of Body	64	11	$2,219.16	$1,664.37 25% off	$117.11	$1,886.29	$798.90	2026-07-15
64417	HCPCS	Injection Anesthesia Agent Axillary Nerv	32	11	$2,194.36	$1,645.77 25% off	$166.84	$1,865.21	$789.97	2026-07-15
49450	HCPCS	Replacement Of Gastrostomy	32	11	$2,189.46	$1,642.10 25% off	$375.00	$1,861.04	$788.21	2026-07-15
72127	HCPCS	CT Cervical Spine W/wo #72127	32	11	$2,165.01	$1,623.76 25% off	$175.40	$1,840.26	$779.40	2026-07-15
49565	HCPCS	Repair Abdominal Hernia	32	11	$2,111.50	$1,583.63 25% off	$620.78	$1,794.78	$760.14	2026-07-15
15100	HCPCS	Skin Splt Grft Trnk/arm/leg	32	11	$2,106.92	$1,580.19 25% off	$619.44	$1,790.88	$758.49	2026-07-15
70542	HCPCS	MRI Orbit/face/neck With #70542	32	11	$2,096.52	$1,572.39 25% off	$238.05	$1,782.04	$754.75	2026-07-15
73719	HCPCS	MRI Lower Ext With #73719 Lt,left Side Of Body	64	11	$2,096.52	$1,572.39 25% off	$233.40	$1,782.04	$754.75	2026-07-15
73222	HCPCS	MRI Upper Ext Joint With #73222 Lt,left Side Of Body	64	11	$2,096.52	$1,572.39 25% off	$278.20	$1,782.04	$754.75	2026-07-15
73219	HCPCS	MRI Upper Ext With #73219 Lt,left Side Of Body	64	11	$2,096.52	$1,572.39 25% off	$293.05	$1,782.04	$754.75	2026-07-15
71551	HCPCS	MRI Chest With #71551	32	11	$2,096.52	$1,572.39 25% off	$329.83	$1,782.04	$754.75	2026-07-15
73722	HCPCS	MRI Lower Ext Joint With #73722 Lt,left Side Of Body	64	11	$2,096.52	$1,572.39 25% off	$280.24	$1,782.04	$754.75	2026-07-15
74182	HCPCS	MRI Abdomen With #74182	32	11	$2,096.52	$1,572.39 25% off	$267.84	$1,782.04	$754.75	2026-07-15
15120	HCPCS	Split Autograft 1st 100cm	32	11	$2,077.90	$1,558.43 25% off	$610.90	$1,766.22	$748.04	2026-07-15
49560	HCPCS	Repair Abdominal Hernia	32	11	$2,060.00	$1,545.00 25% off	$605.64	$1,751.00	$741.60	2026-07-15
49652	HCPCS	Laparoscopy Reduc Hernia	32	11	$2,060.00	$1,545.00 25% off	$605.64	$1,751.00	$741.60	2026-07-15
70547	HCPCS	MRA Neck Without #70547	32	11	$2,036.18	$1,527.14 25% off	$191.44	$1,730.75	$733.02	2026-07-15
72126	HCPCS	CT Cervical Spine W #72126	32	11	$2,017.24	$1,512.93 25% off	$151.06	$1,714.65	$726.21	2026-07-15
93970	HCPCS	US Duplex Venous Bilateral #93970	32	11	$1,998.87	$1,499.15 25% off	$162.89	$1,699.04	$719.59	2026-07-15
72128	HCPCS	CT Thoracic Spine Without #72128	32	11	$1,997.75	$1,498.31 25% off	$117.11	$1,698.09	$719.19	2026-07-15
93975	HCPCS	US Duplex Retro Complete #93975	32	11	$1,992.00	$1,494.00 25% off	$230.03	$1,693.20	$717.12	2026-07-15
19301	HCPCS	Partial Mastectomy	32	11	$1,958.26	$1,468.70 25% off	$575.73	$1,664.52	$704.97	2026-07-15
58720	HCPCS	Removal Of Ovary/tube(s)	32	11	$1,884.85	$1,413.64 25% off	$554.15	$1,602.12	$678.55	2026-07-15
70540	HCPCS	MRI Orbit/face/neck Without #70540	32	11	$1,883.47	$1,412.60 25% off	$200.42	$1,600.95	$678.05	2026-07-15
72196	HCPCS	MRI Pelvis With #72196	58	11	$2,096.52	$1,572.39 25% off	$239.91	$1,782.04	$678.01	2026-07-15
71550	HCPCS	MRI Chest Without #71550	32	11	$1,882.08	$1,411.56 25% off	$295.36	$1,599.77	$677.55	2026-07-15
74181	HCPCS	MRI Abdomen Without #74181	32	11	$1,882.08	$1,411.56 25% off	$174.01	$1,599.77	$677.55	2026-07-15
72195	HCPCS	MRI Pelvis Without #72195	82	11	$1,882.08	$1,411.56 25% off	$171.60	$2,461.14	$677.55	2026-07-15
70490	HCPCS	CT Soft Tissue Neck Without #70490	32	11	$1,875.93	$1,406.95 25% off	$134.98	$1,594.54	$675.33	2026-07-15
93971	HCPCS	US Dup Ext Ven Uni/lim #93971 Lt,left Side Of Body	64	11	$1,873.04	$1,404.78 25% off	$102.91	$1,592.08	$674.29	2026-07-15
70336	HCPCS	MRI Tmj Jts #70336	32	11	$1,869.54	$1,402.16 25% off	$231.12	$1,589.11	$673.03	2026-07-15
47562	HCPCS	Lap Surg Cholecystectomy	32	11	$1,854.00	$1,390.50 25% off	$545.08	$1,575.90	$667.44	2026-07-15
93925	HCPCS	US Duplex Leg Art Bilat #93925	32	11	$1,853.49	$1,390.12 25% off	$209.83	$1,575.47	$667.26	2026-07-15
38562	HCPCS	Limited Lymphadenectomy	32	11	$1,848.85	$1,386.64 25% off	$543.57	$1,571.52	$665.59	2026-07-15
70450	HCPCS	CT Head Without #70450	32	11	$1,825.58	$1,369.19 25% off	$95.89	$1,551.74	$657.21	2026-07-15
47563	HCPCS	Lap Chole With Cholangiography	32	11	$1,806.83	$1,355.12 25% off	$531.21	$1,535.81	$650.46	2026-07-15
43239	HCPCS	Upper Gi Endoscopy	62	11	$2,055.90	$0.25 100% off	$290.40	$1,747.52	$650.05	2026-07-15
93930	HCPCS	US Duplex Arm Art Bilat #93930	32	11	$1,801.88	$1,351.41 25% off	$176.06	$1,531.60	$648.68	2026-07-15
90376	HCPCS	Rabies Immune Glob Hum Inj 150 un/ML	32	11	$1,801.48	$1,351.11 25% off	$470.13	$1,531.26	$648.53	2026-07-15
70488	HCPCS	CT Maxillofacial Sinuses W/wo #70488	32	11	$1,787.78	$1,340.84 25% off	$164.92	$1,519.61	$643.60	2026-07-15
J1212	HCPCS	Rimso-50 50 Ml Vial	32	11	$1,756.36	$1,317.27 25% off	$516.37	$1,492.91	$632.29	2026-07-15
43830	HCPCS	Surgical Opening Of Stoma	32	11	$1,752.03	$1,314.02 25% off	$515.10	$1,489.23	$630.73	2026-07-15
78582	HCPCS	Nm Ventilation & Perfusion #78582	32	11	$1,745.07	$1,308.80 25% off	$257.03	$1,483.31	$628.23	2026-07-15
38740	HCPCS	Remove Armpit Lymph Nodes	32	11	$1,742.76	$1,307.07 25% off	$512.37	$1,481.35	$627.39	2026-07-15
72194	HCPCS	CT Pelvis W/wo #72194	32	11	$1,736.34	$1,302.26 25% off	$222.65	$1,475.89	$625.08	2026-07-15
11622	HCPCS	Exc Mal Les S/n/h/f/g 1.1-2	32	11	$1,726.18	$1,294.64 25% off	$226.43	$1,467.25	$621.42	2026-07-15
64447	HCPCS	Injection Anesthesia Agent Thigh Nerve	32	11	$1,720.04	$1,290.03 25% off	$121.84	$1,462.03	$619.21	2026-07-15
32555	HCPCS	Thoracentesis With Imaging Guidance	32	11	$1,695.39	$1,271.54 25% off	$279.13	$1,441.08	$610.34	2026-07-15
43100	HCPCS	Exc Esophagus Leg	32	11	$1,694.35	$1,270.76 25% off	$498.14	$1,440.20	$609.97	2026-07-15
44970	HCPCS	Laparoscopy Surgical Appy	32	11	$1,673.75	$1,255.31 25% off	$492.09	$1,422.69	$602.55	2026-07-15
64445	HCPCS	Injection,sciatic Nerve, Includ Imag Gui	32	11	$1,669.94	$1,252.46 25% off	$156.09	$1,419.45	$601.18	2026-07-15
81407	HCPCS	Molecular Path Proc L8	32	11	$1,248.85	$936.64 25% off	$367.17	$1,883.31	$597.58	2026-07-15
93351	HCPCS	US Echo Stress #93351	32	11	$1,642.33	$1,231.75 25% off	$209.70	$1,395.98	$591.24	2026-07-15
33286	HCPCS	Removal Subq Cardiac Rhythm Monitor	32	11	$1,630.13	$1,222.60 25% off	$117.93	$1,385.61	$586.85	2026-07-15
78195	HCPCS	Nm Lymphatics/lymph Nodes Images #78195	32	11	$1,604.12	$1,203.09 25% off	$275.84	$1,363.50	$577.48	2026-07-15
72192	HCPCS	CT Pelvis Without Enhanc #72192	32	11	$1,592.85	$1,194.64 25% off	$119.43	$1,353.92	$573.43	2026-07-15
28805	HCPCS	Transmetatarsal Amp. Foot	32	11	$1,589.29	$1,191.97 25% off	$467.25	$1,350.90	$572.14	2026-07-15
43246	HCPCS	Egd W Peg Tube Placement	62	11	$669.50	$502.13 25% off	$168.45	$1,909.05	$569.08	2026-07-15
28173	HCPCS	Resec Bone Tumor Or Tars	32	11	$1,574.87	$1,181.15 25% off	$463.01	$1,338.64	$566.95	2026-07-15
J1670	HCPCS	Tetanus Immune Globulin Inj 250 Unt	32	11	$1,570.00	$1,177.50 25% off	$461.58	$1,334.50	$565.20	2026-07-15
78451	HCPCS	Nm Myp Spec Sngle #78451	32	11	$1,534.10	$1,150.58 25% off	$276.19	$1,303.98	$552.28	2026-07-15
L1830	HCPCS	Immob Knee Univ	60	10	$1,787.13	$1,340.35 25% off	$22.25	$2,973.81	$546.45	2026-07-15
73702	HCPCS	CT Extremity Lower W/wo #73702 Lt,left Side Of Body	64	11	$1,514.47	$1,135.85 25% off	$174.05	$1,287.30	$545.21	2026-07-15
70492	HCPCS	CT Soft Tissue Neck W/wo #70492	32	11	$1,514.47	$1,135.85 25% off	$197.30	$1,287.30	$545.21	2026-07-15
45171	HCPCS	Exc Rct Tum Not Incl Muscularis Propria	32	11	$1,505.02	$1,128.77 25% off	$442.48	$1,279.27	$541.81	2026-07-15
46270	HCPCS	Surg Tx Annal Fistula	32	11	$1,477.18	$1,107.89 25% off	$434.29	$1,255.60	$531.78	2026-07-15
70482	HCPCS	CT Orbit Foss/iac/sella W/wo #70482	32	11	$1,476.99	$1,107.74 25% off	$186.75	$1,255.44	$531.72	2026-07-15
37735	HCPCS	Varicose Vein Stipping And Ligation	32	11	$1,475.01	$1,106.26 25% off	$433.65	$1,253.76	$531.00	2026-07-15
49507	HCPCS	Rpr 1st Ingun Hernia Incarcerated	32	11	$1,474.96	$1,106.22 25% off	$433.64	$1,253.72	$530.99	2026-07-15
11004	HCPCS	Debride Genitalia & Perineum	32	11	$1,472.06	$1,104.05 25% off	$432.79	$1,251.25	$529.94	2026-07-15
73202	HCPCS	CT Extremity Upper W/wo #73202 Lt,left Side Of Body	64	11	$1,470.36	$1,102.77 25% off	$218.86	$1,249.81	$529.33	2026-07-15
43249	HCPCS	Esoph Egd Dilation <30mm	64	11	$1,246.53	$175.09 86% off	$137.17	$1,722.52	$526.51	2026-07-15
J0248	HCPCS	Remdesivir Inj 100 Mg/20 Ml	32	11	$1,450.76	$1,088.07 25% off	$6.76	$1,233.15	$522.27	2026-07-15
81408	HCPCS	Molecular Path Proc L9	32	11	$1,051.67	$788.75 25% off	$309.19	$2,158.29	$520.58	2026-07-15
93880	HCPCS	US Carotid Duplex Scan #93880	32	11	$1,444.29	$1,083.22 25% off	$167.62	$1,227.65	$519.94	2026-07-15
49587	HCPCS	Repair Umbilical Block > 5yr	32	11	$1,440.81	$1,080.61 25% off	$423.60	$1,224.69	$518.69	2026-07-15
70460	HCPCS	CT Head With #70460	32	11	$1,434.42	$1,075.82 25% off	$133.28	$1,219.26	$516.39	2026-07-15
22900	HCPCS	Esc Tumor Soft Tissue Adb Wall <5cm	32	11	$1,408.42	$1,056.32 25% off	$414.08	$1,197.16	$507.03	2026-07-15
39400	HCPCS	Visualization Of Chest	30	10	$1,394.62	$1,045.97 25% off	$410.02	$1,185.43	$502.06	2026-07-15
76700	HCPCS	US Abdominal Comp #76700	32	11	$1,364.48	$1,023.36 25% off	$102.44	$1,159.81	$491.21	2026-07-15
0120	RC	—	4	2	$590.89	$443.17 25% off	$475.00	$502.26	$488.63	2026-07-15
46255	HCPCS	Hemorrhoidectomy	32	11	$1,354.45	$1,015.84 25% off	$398.21	$1,151.28	$487.60	2026-07-15
49582	HCPCS	Repair Inc Umb Hernia	32	11	$1,327.67	$995.75 25% off	$390.33	$1,128.52	$477.96	2026-07-15
21552	HCPCS	Exc Neck Less Sc 3cm/>	32	11	$1,320.02	$990.02 25% off	$388.09	$1,122.02	$475.21	2026-07-15
94002	HCPCS	Rt Ventilator Initial Day	32	11	$1,319.61	$989.71 25% off	$82.17	$1,121.67	$475.06	2026-07-15
46040	HCPCS	Incision Of Rectal Abcess	32	11	$1,319.25	$989.44 25% off	$387.86	$1,121.36	$474.93	2026-07-15
93978	HCPCS	US Duplex Aorta/ivc #93978	32	11	$1,317.86	$988.40 25% off	$160.09	$1,120.18	$474.43	2026-07-15
78306	HCPCS	Nm Bone Image Whole Body #78306	32	11	$1,311.17	$983.38 25% off	$228.93	$1,114.49	$472.02	2026-07-15
27603	HCPCS	I&d Leg/ankle Abcess/hematoma	32	11	$1,301.77	$976.33 25% off	$382.72	$1,106.50	$468.64	2026-07-15
46260	HCPCS	Hemorrhoidectomy	32	11	$1,299.86	$974.90 25% off	$382.16	$1,104.88	$467.95	2026-07-15
28810	HCPCS	Amp Metatarsal Toe Singl	32	11	$1,292.65	$969.49 25% off	$370.03	$1,098.75	$465.35	2026-07-15
J1442	HCPCS	Filgrastim Inj 480 Mcg/0.8 Ml	62	11	$1,287.44	$965.58 25% off	$0.98	$1,094.32	$463.48	2026-07-15
0360	RC	—	1,386	10	$986.06	$739.55 25% off	$39.35	$15,087.50	$462.22	2026-07-15
94003	HCPCS	Rt Ventilator Subsequent Day	32	11	$1,281.17	$960.88 25% off	$56.59	$1,088.99	$461.22	2026-07-15
78707	HCPCS	Nm Renal Image Flow And Funt #78707	32	11	$1,270.58	$952.94 25% off	$185.95	$1,079.99	$457.41	2026-07-15
46258	HCPCS	Hemorrhoidectomy Single C	32	11	$1,266.90	$950.18 25% off	$372.47	$1,076.86	$456.08	2026-07-15
93307	HCPCS	2 D Echo	32	11	$1,260.10	$945.08 25% off	$123.49	$1,071.08	$453.64	2026-07-15
V2632	HCPCS	Iol Ccwtt0.180	180	10	$1,045.00	$783.75 25% off	$139.65	$1,480.06	$451.36	2026-07-15
75822	HCPCS	Xr Venogram Bilateral #75822	32	11	$1,250.32	$937.74 25% off	$121.07	$1,062.77	$450.12	2026-07-15
70491	HCPCS	CT Soft Tissue Neck With #70491	32	11	$1,247.68	$935.76 25% off	$164.74	$1,060.53	$449.16	2026-07-15
J0885	HCPCS	Epoetin Alfa Inj 20,000 Un/1 Ml	92	11	$1,246.64	$934.98 25% off	$7.59	$2,190.96	$448.79	2026-07-15
46275	HCPCS	Anal Fistula Surgery	32	11	$1,243.45	$932.59 25% off	$365.58	$1,056.93	$447.64	2026-07-15
36556	HCPCS	Central Line Placement	122	11	$677.74	$508.31 25% off	$95.56	$2,350.97	$446.02	2026-07-15
73201	HCPCS	CT Extremity Upper With #73201 Lt,left Side Of Body	64	11	$1,237.26	$927.95 25% off	$177.91	$1,051.67	$445.41	2026-07-15
73701	HCPCS	CT Extremity Lower With #73701 Lt,left Side Of Body	64	11	$1,237.26	$927.95 25% off	$148.80	$1,051.67	$445.41	2026-07-15
49585	HCPCS	Repair Umbilical Hernia	32	11	$1,236.00	$927.00 25% off	$363.38	$1,050.60	$444.96	2026-07-15
46250	HCPCS	Hemorrhoidectomy/external	32	11	$1,236.00	$927.00 25% off	$363.38	$1,050.60	$444.96	2026-07-15
19120	HCPCS	Exc Cyst Breast Tissue 1 Lesion	32	11	$1,225.91	$919.43 25% off	$360.41	$1,042.02	$441.33	2026-07-15
C1762	HCPCS	Dermis On Demand Allograft 15x4.5x3	30	10	$1,225.00	$918.75 25% off	$360.15	$1,041.25	$441.00	2026-07-15
C1788	HCPCS	Vasc Acc Port Dual	30	10	$1,225.00	$918.75 25% off	$360.15	$1,041.25	$441.00	2026-07-15
38550	HCPCS	Removal Neck/armpit Lesio	32	11	$1,224.67	$918.50 25% off	$360.05	$1,040.97	$440.88	2026-07-15
78469	HCPCS	Nm Myo Infa Spect Pyp #78469	32	11	$1,221.02	$915.77 25% off	$180.85	$1,037.87	$439.57	2026-07-15
24071	HCPCS	Exc Tumor Soft Tissue Upper Arm 3cm Or >	32	11	$1,216.25	$912.19 25% off	$357.58	$1,033.81	$437.85	2026-07-15
38520	HCPCS	Exc Lymph Nodes-and Fat B	32	11	$1,213.34	$910.01 25% off	$356.72	$1,031.34	$436.80	2026-07-15
76377	HCPCS	CT 3d Workstation #76377	32	11	$1,212.34	$909.26 25% off	$71.53	$1,030.49	$436.44	2026-07-15
70481	HCPCS	CT Orbit Foss/iac/sella With #70481	32	11	$1,211.03	$908.27 25% off	$160.63	$1,029.38	$435.97	2026-07-15
70487	HCPCS	CT Maxillofacial Sinuses With #70487	32	11	$1,210.69	$908.02 25% off	$136.18	$1,029.09	$435.85	2026-07-15
11451	HCPCS	Excision Hidradenitis Axillary Complex R	32	11	$1,199.62	$899.72 25% off	$352.69	$1,019.68	$431.86	2026-07-15
0121	RC	—	4	2	$579.96	$434.97 25% off	$370.54	$492.97	$431.75	2026-07-15
70496	HCPCS	CTA Head #70496	32	11	$1,197.77	$898.33 25% off	$244.93	$1,018.10	$431.20	2026-07-15
74175	HCPCS	CTA Abdomen #74175	32	11	$1,197.77	$898.33 25% off	$271.65	$1,018.10	$431.20	2026-07-15
70498	HCPCS	CTA Neck #70498	32	11	$1,197.07	$897.80 25% off	$244.93	$1,017.51	$430.95	2026-07-15
P9055	HCPCS	Cmv Neg Plts Pher Lr	30	10	$1,196.96	$897.72 25% off	$351.91	$1,017.42	$430.91	2026-07-15
78264	HCPCS	Nm Gastric Emptying #78264	32	11	$1,194.82	$896.12 25% off	$255.46	$1,015.60	$430.14	2026-07-15
45384	HCPCS	Colonoscopy Polyp Remvl	32	11	$1,189.65	$892.24 25% off	$349.76	$1,011.20	$428.27	2026-07-15
21930	HCPCS	Excision Tumor Soft Tissue <3cm	32	11	$1,178.61	$883.96 25% off	$346.51	$1,001.82	$424.30	2026-07-15
21931	HCPCS	Excision Tumor Soft Tissue 3cm/>	32	11	$1,175.16	$881.37 25% off	$345.50	$998.89	$423.06	2026-07-15
74150	HCPCS	CT Abdomen Without #74150	32	11	$1,174.83	$881.12 25% off	$123.01	$998.61	$422.94	2026-07-15
38308	HCPCS	Lymphangiotomy Or Other	32	11	$1,163.90	$872.93 25% off	$342.19	$989.32	$419.00	2026-07-15
72191	HCPCS	CTA Pelvis #72191	32	11	$1,162.88	$872.16 25% off	$271.32	$988.45	$418.64	2026-07-15
73206	HCPCS	CTA Upper Extremity #73206	32	11	$1,162.88	$872.16 25% off	$264.04	$988.45	$418.64	2026-07-15
32551	HCPCS	Insertion Of Chest Tube	32	11	$1,155.16	$866.37 25% off	$135.77	$981.89	$415.86	2026-07-15
99465	HCPCS	Newborn Resuscitation	32	11	$1,155.16	$866.37 25% off	$118.46	$981.89	$415.86	2026-07-15
70480	HCPCS	CT Orbit Foss/iac/sella Without #70480	32	11	$1,153.25	$864.94 25% off	$142.55	$980.26	$415.17	2026-07-15
0370	RC	—	450	10	$1,050.81	$788.11 25% off	$10.67	$1,399.14	$414.36	2026-07-15
88121	HCPCS	Cytp Urine 3-5 Prob Cmptr	32	11	$1,141.03	$855.77 25% off	$189.24	$969.88	$410.77	2026-07-15
19020	HCPCS	Mastotomy W/exploration/drainage	32	11	$1,140.36	$855.27 25% off	$335.27	$969.31	$410.53	2026-07-15
P9037	HCPCS	Plat Pheresis Lr Irrad	30	10	$1,139.77	$854.83 25% off	$335.09	$968.80	$410.32	2026-07-15
73706	HCPCS	CTA Lower Extremity #73706	32	11	$1,137.91	$853.43 25% off	$287.09	$967.22	$409.65	2026-07-15
13121	HCPCS	Repair Complex Sclap/arm/leg 2.6-7.5cm	32	11	$1,137.74	$853.31 25% off	$334.49	$967.08	$409.59	2026-07-15
87507	HCPCS	Gi Profile Pcr	32	11	$885.75	$664.31 25% off	$260.42	$752.89	$408.83	2026-07-15
45385	HCPCS	Colonoscopy W Px	32	11	$1,133.00	$849.75 25% off	$333.10	$963.05	$407.88	2026-07-15
P9035	HCPCS	Platelet Pheresis	30	10	$1,132.73	$849.55 25% off	$333.02	$962.82	$407.78	2026-07-15
78215	HCPCS	Nm Liver/spleen Scan #78215	32	11	$1,131.05	$848.29 25% off	$157.19	$961.39	$407.18	2026-07-15
54700	HCPCS	I & D Ascess Scrotum	62	11	$618.00	$463.50 25% off	$181.69	$4,123.90	$406.71	2026-07-15
11402	HCPCS	Rmvl Bngn Les 1.1-2.0 Cm	62	11	$475.86	$356.90 25% off	$139.90	$1,424.52	$404.48	2026-07-15
38510	HCPCS	Inc Biopsy Cervical Node	32	11	$1,113.43	$835.07 25% off	$327.35	$946.42	$400.83	2026-07-15
27632	HCPCS	Excision Soft Tissue Leg	32	11	$1,109.60	$832.20 25% off	$326.22	$943.16	$399.46	2026-07-15
78278	HCPCS	Nm Acute Gi Bleed #78278	32	11	$1,103.18	$827.39 25% off	$269.87	$937.70	$397.14	2026-07-15
P9036	HCPCS	Platelets Pheresis Irrad	30	10	$1,101.85	$826.39 25% off	$323.95	$936.57	$396.67	2026-07-15
27250	HCPCS	Hip Dislocation Simple Reduction	32	11	$1,097.13	$822.85 25% off	$166.47	$932.56	$394.97	2026-07-15
V2788	HCPCS	Iol Ccwtt0.200	90	10	$995.00	$746.25 25% off	$263.13	$930.75	$394.20	2026-07-15
J0878	HCPCS	DAPTOmycin Inj 500 Mg	32	11	$1,091.08	$818.31 25% off	$0.03	$927.42	$392.79	2026-07-15
38531	HCPCS	Open Bx/exc Inguinofemoral Nodes	32	11	$1,090.56	$817.92 25% off	$320.63	$926.98	$392.60	2026-07-15
38525	HCPCS	Biopsy/removal Lymph Node	32	11	$1,082.53	$811.90 25% off	$318.26	$920.15	$389.71	2026-07-15
40530	HCPCS	Partial Removal Of Lip	32	11	$1,076.35	$807.26 25% off	$316.45	$914.90	$387.49	2026-07-15
45380	HCPCS	Colonoscopy And Biopsy	32	11	$1,070.17	$802.63 25% off	$314.63	$909.64	$385.26	2026-07-15
92950	HCPCS	Cardiopulmonary Resuscitation	62	11	$671.18	$503.39 25% off	$197.32	$1,011.34	$384.79	2026-07-15
49905	HCPCS	Omental Flap Intra-abdom	32	11	$1,057.52	$793.14 25% off	$298.85	$898.89	$380.71	2026-07-15
55250	HCPCS	Vasectomy	32	11	$1,050.97	$788.23 25% off	$308.98	$893.32	$378.35	2026-07-15
81220	HCPCS	Cystic Fibrosis Panel	32	11	$851.69	$638.77 25% off	$250.40	$723.94	$377.63	2026-07-15
27337	HCPCS	Excision Soft Tissue Thigh	32	11	$1,046.53	$784.90 25% off	$307.68	$889.55	$376.75	2026-07-15
24105	HCPCS	Removal Of Elbow Bursa	32	11	$1,045.10	$783.83 25% off	$307.26	$888.34	$376.24	2026-07-15
99285	HCPCS	ER Level V	58	11	$1,522.43	$1,141.82 25% off	$94.92	$1,294.07	$375.00	2026-07-15
10080	HCPCS	I&d Pilonidal Cyst Simple	62	11	$439.74	$329.81 25% off	$129.28	$1,424.52	$373.78	2026-07-15
77011	HCPCS	CT Guidance For Stereot #77011	32	11	$1,029.38	$772.04 25% off	$197.28	$874.97	$370.58	2026-07-15
15002	HCPCS	Wound Prep Trunk/arm/leg	32	11	$1,027.76	$770.82 25% off	$302.16	$873.60	$369.99	2026-07-15
31603	HCPCS	Emerg Tracheostomy	62	11	$1,130.94	$848.21 25% off	$201.13	$961.30	$369.40	2026-07-15
21555	HCPCS	Exc Tumor Soft Tissue Neck <3cm	32	11	$1,025.26	$768.95 25% off	$301.43	$871.47	$369.09	2026-07-15
72295	HCPCS	Xr Discogram Lumbar #72295	32	11	$1,023.35	$767.51 25% off	$95.41	$869.85	$368.41	2026-07-15
72285	HCPCS	Xr Discogram C/t #72285	32	11	$1,023.35	$767.51 25% off	$110.15	$869.85	$368.41	2026-07-15
J2760	HCPCS	Phentolamine Inj 5 Mg	32	11	$1,019.52	$764.64 25% off	$299.74	$866.59	$367.03	2026-07-15
M0222	HCPCS	Bebtelovimad Injection	30	10	$1,014.92	$761.19 25% off	$298.39	$862.68	$365.37	2026-07-15
M0243	HCPCS	Casirivi And Imdevi Infusion	30	10	$1,014.92	$761.19 25% off	$298.39	$862.68	$365.37	2026-07-15
M0245	HCPCS	Bam & Etesevimad Infusion	30	10	$1,014.92	$761.19 25% off	$298.39	$862.68	$365.37	2026-07-15
M0247	HCPCS	Sotrovimad Infusion	30	10	$1,014.92	$761.19 25% off	$298.39	$862.68	$365.37	2026-07-15
M0239	HCPCS	Bamlanivimab-xxxx Infusion	30	10	$1,014.92	$761.19 25% off	$298.39	$862.68	$365.37	2026-07-15
M0220	HCPCS	Evusheld Infusion	30	10	$1,014.92	$761.19 25% off	$298.39	$862.68	$365.37	2026-07-15

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