Hospital

POINTE COUPEE GENERAL HOSPITAL

New Roads, LA · CCN 191316 · Rates published

5,785 distinct procedures filed

14 distinct payers

36,783 rate rows

2026-07-31 last MRF observed

Data quality

24,032 of 36,783 rate rows are consumer-grade (65.3%)

12,751 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	12,730
per-diem day rate — not a per-procedure price	21

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

Source MRF file	https://pcgh.org/s/721054801_pointe-coupee-general-hospital_standardcharges.csv
Found on page	https://pcgh.org/medical-services/price-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-14
Content fingerprint	3c1ae2802170b3a0… · 2,662,836 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
4068678 OTHER	Spectra Penile Prosthesis	6	$14,325.02	$29,360.88	$27,661.04	nat. median $27,661 1.0× median
3252612 OTHER	Kit Replacement Hip - Dual Mobility	6	$12,606.55	$25,838.67	$24,342.75	nat. median $24,343 1.0× median
3257527 OTHER	Kit Replacement Hip - Total	6	$9,858.97	$20,207.17	$19,037.28	nat. median $19,037 1.0× median
4093882 OTHER	Femoral 00-5994-015-92 Lcck Sz E Right	6	$9,789.18	$20,064.12	$18,902.52	nat. median $18,903 1.0× median
3259948 OTHER	Femoral 5994-013-92 Lcck Sz C Rt	6	$9,789.18	$20,064.12	$18,902.52	nat. median $18,903 1.0× median
4068112 OTHER	Versys 7871-013-61 Cem/rev/calcar 13x210	6	$7,780.86	$15,947.83	$15,024.53	nat. median $15,025 1.0× median
4098075 OTHER	Epifix 3cm X 4cm Sheet	6	$7,478.65	$15,328.40	$14,440.97	nat. median $14,441 1.0× median
3251515 OTHER	Kit Replacement Knee - Total	6	$6,303.28	$12,919.34	$12,171.38	nat. median $562 outlier · 21.7×
2033210 OTHER	Transvenous Pacer	6	$6,148.79	$12,602.70	$11,873.07	nat. median $8,502 1.4× median
3254384 OTHER	Liner 8758-009-28 Constrained Longevity	6	$5,986.58	$12,270.22	$11,559.84	nat. median $11,560 1.0× median
3253858 OTHER	Liner 8758-012-32 Constrained Longevity	6	$5,986.58	$12,270.22	$11,559.84	nat. median $11,560 1.0× median
4065541 OTHER	Liner 8758-011-28 Constr Longevity 28x54	6	$5,986.58	$12,270.22	$11,559.84	nat. median $11,560 1.0× median
3258829 OTHER	Femur 42-5000-058-02 Cemented Rt Size 5	6	$5,750.77	$11,786.91	$11,104.51	nat. median $11,105 1.0× median
4063117 OTHER	Femur 42-5006-064-02 Cemented Lt Size 8	6	$5,750.77	$11,786.91	$11,104.51	nat. median $11,105 1.0× median
4098113 OTHER	Femoral 7711-013-00 Press Fit Stem 13.5	6	$5,596.58	$11,470.88	$10,806.77	nat. median $10,807 1.0× median
4098320 OTHER	Femoral 7711-013-20 Press Fit Stem 13.5	6	$5,596.58	$11,470.88	$10,806.77	nat. median $10,807 1.0× median
4093814 OTHER	Stem Comp Primary Micro 14mm	6	$5,446.68	$11,163.63	$10,517.31	nat. median $581 outlier · 18.1×
4091816 OTHER	Stem Comp Primary 16mm Micro	6	$5,446.68	$11,163.63	$10,517.31	nat. median $293 outlier · 35.9×
4091661 OTHER	Stem Comp Primary Micro 11mm	6	$5,446.68	$11,163.63	$10,517.31	nat. median $10,517 1.0× median
4096512 OTHER	G7 Osseoti 110010247 4 Hole Shell 58mm	6	$4,931.10	$10,106.90	$9,521.76	nat. median $9,522 1.0× median
4064897 OTHER	G7 Osseoti 110010244 3-hole 52mm E	6	$4,931.10	$10,106.90	$9,521.76	nat. median $9,522 1.0× median
18603301 OTHER	Cl-triamcinolone Acetonide Inj-per 40 Mg	6	$4,690.16	$9,613.05	$9,056.51	nat. median $9,057 1.0× median
4060021 OTHER	Znail 47-2493-381-11cpm 11.5MMx38CM 125l	6	$4,375.93	$8,969.01	$8,449.75	nat. median $8,450 1.0× median
4097881 OTHER	Epifix Mesh 4x4.5CM	6	$4,227.77	$8,665.34	$8,163.66	nat. median $8,164 1.0× median
4098882 OTHER	Epicord 2 X3	6	$4,080.75	$8,364.00	$7,879.77	nat. median $7,880 1.0× median
3252645 OTHER	Epifix Mesh 3.5cm X 3.5cm	6	$3,901.05	$7,995.68	$7,532.77	nat. median $7,533 1.0× median
4062828 OTHER	Stem 7850-013-20 Cemented Extended	6	$3,848.88	$7,888.74	$7,432.03	nat. median $7,432 1.0× median
4063774 OTHER	Stem 7850-014-00 Cemented Standard	6	$3,848.88	$7,888.74	$7,432.03	nat. median $7,432 1.0× median
3254897 OTHER	Fiber For Greenlight Laser Rental	6	$3,757.29	$7,701.03	$7,255.18	nat. median $7,255 1.0× median
4097458 OTHER	Epifix 2 X 3 Sheet	6	$3,737.69	$7,660.86	$7,217.33	nat. median $7,217 1.0× median
4068615 OTHER	Kit Replacement Hip - Partial	6	$3,636.51	$7,453.46	$7,021.95	nat. median $7,022 1.0× median
3216079 OTHER	Lithotripsy, Bilateral	6	$3,634.54	$7,449.43	$7,018.15	nat. median $7,018 1.0× median
4063497 OTHER	Epifix Mesh 2cm X 3 Cm	6	$3,593.93	$7,366.21	$6,939.74	nat. median $6,940 1.0× median
4063878 OTHER	Plate 00-5988-006-00 Tibial Size 6	6	$3,569.84	$7,316.81	$6,893.21	nat. median $6,893 1.0× median
4069402 OTHER	Acetabular 8757-054-02 Shell 54mm	6	$3,489.59	$7,152.34	$6,738.25	nat. median $6,738 1.0× median
4092665 OTHER	Acetabular 110024465 System	6	$3,378.56	$6,924.77	$6,523.86	nat. median $6,524 1.0× median
4093841 OTHER	Nexgen 5448-002-36 Tib Blk Metal Sz 2 5m	6	$3,317.88	$6,800.40	$6,406.69	nat. median $6,407 1.0× median
4096538 OTHER	Tibial 5448-005-37 Trab Mtl Hlf Sz 5	6	$3,317.88	$6,800.40	$6,406.69	nat. median $6,407 1.0× median
4095115 OTHER	Femoral Head 8777-028-03 28mm +3.5mm	6	$3,267.36	$6,696.85	$6,309.14	nat. median $6,309 1.0× median
4098333 OTHER	Plate 2357-008-10 Tibial Locking 10-h Lt	6	$3,030.42	$6,211.22	$5,851.63	nat. median $5,852 1.0× median
4069773 OTHER	Plate 2357-007-08 Tibial Locking 8-h Rt	6	$2,994.06	$6,136.69	$5,781.40	nat. median $5,781 1.0× median
4143765 OTHER	Oxaliplatin 200mg Inj (eloxatin) 40ml	6	$2,962.94	$6,072.90	$5,721.32	nat. median $5,721 1.0× median
3209225 OTHER	Vantus 50 Mg	6	$2,952.75	$6,052.02	$5,701.65	nat. median $5,702 1.0× median
3255664 OTHER	Nail 47-2493-213-11 Femoral 11 X 21.5 X	6	$2,909.20	$5,962.77	$5,617.56	nat. median $5,618 1.0× median
4096878 OTHER	Nail 47-2493-211-11 Femoral 11.5mmx21.5c	6	$2,909.20	$5,962.77	$5,617.56	nat. median $5,618 1.0× median
3258994 OTHER	Nail 47-2493-212-13 CPM13MMx21.5CM 130r	6	$2,909.20	$5,962.77	$5,617.56	nat. median $5,618 1.0× median
3254456 OTHER	Nail 47-2493-211-13 Femoral 13 X 21.5 X	6	$2,909.20	$5,962.77	$5,617.56	nat. median $5,618 1.0× median
4062011 OTHER	Nail 47-2493-210-11 Femoral 11.5 X 21.5	6	$2,909.20	$5,962.77	$5,617.56	nat. median $5,618 1.0× median
4098894 OTHER	Nail 47-2493-212-11 Femoral 10 X 21.5 X	6	$2,909.20	$5,962.77	$5,617.56	nat. median $5,618 1.0× median
4061686 OTHER	Plate 2357-003-06 Tibial Locking 6-h Rt	6	$2,642.53	$5,416.19	$5,102.62	nat. median $5,103 1.0× median

Other procedures at this hospital

Browse this hospital's 5,785 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

4068678	OTHER	Spectra Penile Prosthesis	6	6	$30,906.19	—	$14,325.02	$29,360.88	$27,661.04	2026-07-31
3252612	OTHER	Kit Replacement Hip - Dual Mobility	6	6	$27,198.60	—	$12,606.55	$25,838.67	$24,342.75	2026-07-31
3257527	OTHER	Kit Replacement Hip - Total	6	6	$21,270.70	—	$9,858.97	$20,207.17	$19,037.28	2026-07-31
3259948	OTHER	Femoral 5994-013-92 Lcck Sz C Rt	6	6	$21,120.13	—	$9,789.18	$20,064.12	$18,902.52	2026-07-31
4093882	OTHER	Femoral 00-5994-015-92 Lcck Sz E Right	6	6	$21,120.13	—	$9,789.18	$20,064.12	$18,902.52	2026-07-31
4068112	OTHER	Versys 7871-013-61 Cem/rev/calcar 13x210	6	6	$16,787.19	—	$7,780.86	$15,947.83	$15,024.53	2026-07-31
4098075	OTHER	Epifix 3cm X 4cm Sheet	6	6	$16,135.16	—	$7,478.65	$15,328.40	$14,440.97	2026-07-31
3251515	OTHER	Kit Replacement Knee - Total	6	6	$13,599.30	—	$6,303.28	$12,919.34	$12,171.38	2026-07-31
2033210	OTHER	Transvenous Pacer	6	6	$13,266.00	—	$6,148.79	$12,602.70	$11,873.07	2026-07-31
4065541	OTHER	Liner 8758-011-28 Constr Longevity 28x54	6	6	$12,916.02	—	$5,986.58	$12,270.22	$11,559.84	2026-07-31
3254384	OTHER	Liner 8758-009-28 Constrained Longevity	6	6	$12,916.02	—	$5,986.58	$12,270.22	$11,559.84	2026-07-31
3253858	OTHER	Liner 8758-012-32 Constrained Longevity	6	6	$12,916.02	—	$5,986.58	$12,270.22	$11,559.84	2026-07-31
3258829	OTHER	Femur 42-5000-058-02 Cemented Rt Size 5	6	6	$12,407.27	—	$5,750.77	$11,786.91	$11,104.51	2026-07-31
4063117	OTHER	Femur 42-5006-064-02 Cemented Lt Size 8	6	6	$12,407.27	—	$5,750.77	$11,786.91	$11,104.51	2026-07-31
4098320	OTHER	Femoral 7711-013-20 Press Fit Stem 13.5	6	6	$12,074.61	—	$5,596.58	$11,470.88	$10,806.77	2026-07-31
4098113	OTHER	Femoral 7711-013-00 Press Fit Stem 13.5	6	6	$12,074.61	—	$5,596.58	$11,470.88	$10,806.77	2026-07-31
4091816	OTHER	Stem Comp Primary 16mm Micro	6	6	$11,751.19	—	$5,446.68	$11,163.63	$10,517.31	2026-07-31
4091661	OTHER	Stem Comp Primary Micro 11mm	6	6	$11,751.19	—	$5,446.68	$11,163.63	$10,517.31	2026-07-31
4093814	OTHER	Stem Comp Primary Micro 14mm	6	6	$11,751.19	—	$5,446.68	$11,163.63	$10,517.31	2026-07-31
4096512	OTHER	G7 Osseoti 110010247 4 Hole Shell 58mm	6	6	$10,638.84	—	$4,931.10	$10,106.90	$9,521.76	2026-07-31
4064897	OTHER	G7 Osseoti 110010244 3-hole 52mm E	6	6	$10,638.84	—	$4,931.10	$10,106.90	$9,521.76	2026-07-31
18603301	OTHER	Cl-triamcinolone Acetonide Inj-per 40 Mg	6	6	$10,119.00	—	$4,690.16	$9,613.05	$9,056.51	2026-07-31
4060021	OTHER	Znail 47-2493-381-11cpm 11.5MMx38CM 125l	6	6	$9,441.06	—	$4,375.93	$8,969.01	$8,449.75	2026-07-31
4097881	OTHER	Epifix Mesh 4x4.5CM	6	6	$9,121.41	—	$4,227.77	$8,665.34	$8,163.66	2026-07-31
4098882	OTHER	Epicord 2 X3	6	6	$8,804.21	—	$4,080.75	$8,364.00	$7,879.77	2026-07-31
3252645	OTHER	Epifix Mesh 3.5cm X 3.5cm	6	6	$8,416.51	—	$3,901.05	$7,995.68	$7,532.77	2026-07-31
4062828	OTHER	Stem 7850-013-20 Cemented Extended	6	6	$8,303.94	—	$3,848.88	$7,888.74	$7,432.03	2026-07-31
4063774	OTHER	Stem 7850-014-00 Cemented Standard	6	6	$8,303.94	—	$3,848.88	$7,888.74	$7,432.03	2026-07-31
3254897	OTHER	Fiber For Greenlight Laser Rental	6	6	$8,106.35	—	$3,757.29	$7,701.03	$7,255.18	2026-07-31
4097458	OTHER	Epifix 2 X 3 Sheet	6	6	$8,064.06	—	$3,737.69	$7,660.86	$7,217.33	2026-07-31
4068615	OTHER	Kit Replacement Hip - Partial	6	6	$7,845.75	—	$3,636.51	$7,453.46	$7,021.95	2026-07-31
3216079	OTHER	Lithotripsy, Bilateral	6	6	$7,841.50	—	$3,634.54	$7,449.43	$7,018.15	2026-07-31
4063497	OTHER	Epifix Mesh 2cm X 3 Cm	6	6	$7,753.90	—	$3,593.93	$7,366.21	$6,939.74	2026-07-31
4063878	OTHER	Plate 00-5988-006-00 Tibial Size 6	6	6	$7,701.91	—	$3,569.84	$7,316.81	$6,893.21	2026-07-31
4069402	OTHER	Acetabular 8757-054-02 Shell 54mm	6	6	$7,528.78	—	$3,489.59	$7,152.34	$6,738.25	2026-07-31
4092665	OTHER	Acetabular 110024465 System	6	6	$7,289.23	—	$3,378.56	$6,924.77	$6,523.86	2026-07-31
4093841	OTHER	Nexgen 5448-002-36 Tib Blk Metal Sz 2 5m	6	6	$7,158.32	—	$3,317.88	$6,800.40	$6,406.69	2026-07-31
4096538	OTHER	Tibial 5448-005-37 Trab Mtl Hlf Sz 5	6	6	$7,158.32	—	$3,317.88	$6,800.40	$6,406.69	2026-07-31
4095115	OTHER	Femoral Head 8777-028-03 28mm +3.5mm	6	6	$7,049.32	—	$3,267.36	$6,696.85	$6,309.14	2026-07-31
4098333	OTHER	Plate 2357-008-10 Tibial Locking 10-h Lt	6	6	$6,538.13	—	$3,030.42	$6,211.22	$5,851.63	2026-07-31
4069773	OTHER	Plate 2357-007-08 Tibial Locking 8-h Rt	6	6	$6,459.67	—	$2,994.06	$6,136.69	$5,781.40	2026-07-31
4143765	OTHER	Oxaliplatin 200mg Inj (eloxatin) 40ml	6	6	$6,392.53	—	$2,962.94	$6,072.90	$5,721.32	2026-07-31
3209225	OTHER	Vantus 50 Mg	6	6	$6,370.55	—	$2,952.75	$6,052.02	$5,701.65	2026-07-31
3258994	OTHER	Nail 47-2493-212-13 CPM13MMx21.5CM 130r	6	6	$6,276.60	—	$2,909.20	$5,962.77	$5,617.56	2026-07-31
3255664	OTHER	Nail 47-2493-213-11 Femoral 11 X 21.5 X	6	6	$6,276.60	—	$2,909.20	$5,962.77	$5,617.56	2026-07-31
3254456	OTHER	Nail 47-2493-211-13 Femoral 13 X 21.5 X	6	6	$6,276.60	—	$2,909.20	$5,962.77	$5,617.56	2026-07-31
4096878	OTHER	Nail 47-2493-211-11 Femoral 11.5mmx21.5c	6	6	$6,276.60	—	$2,909.20	$5,962.77	$5,617.56	2026-07-31
4062011	OTHER	Nail 47-2493-210-11 Femoral 11.5 X 21.5	6	6	$6,276.60	—	$2,909.20	$5,962.77	$5,617.56	2026-07-31
4098894	OTHER	Nail 47-2493-212-11 Femoral 10 X 21.5 X	6	6	$6,276.60	—	$2,909.20	$5,962.77	$5,617.56	2026-07-31
4061686	OTHER	Plate 2357-003-06 Tibial Locking 6-h Rt	6	6	$5,701.25	—	$2,642.53	$5,416.19	$5,102.62	2026-07-31
4069401	OTHER	Acetabular 8757-054-01 Shell 54mm	6	6	$5,677.18	—	$2,631.37	$5,393.32	$5,081.07	2026-07-31
4067001	OTHER	Acetabular 8757-050-01 Shell 50mm Sz Hh	6	6	$5,677.18	—	$2,631.37	$5,393.32	$5,081.07	2026-07-31
4069201	OTHER	Acetabular 8757-052-01 Shell 52mm	6	6	$5,677.18	—	$2,631.37	$5,393.32	$5,081.07	2026-07-31
4065766	OTHER	Tibial 5980-047-01 Plate Stemmed Sz5	6	6	$5,386.89	—	$2,496.82	$5,117.55	$4,821.26	2026-07-31
4064702	OTHER	Tibial 5980-027-02 Component Stmd Sz 2	6	6	$5,386.89	—	$2,496.82	$5,117.55	$4,821.26	2026-07-31
4068702	OTHER	Tibia 42-5320-067-02 Stem Right Size D	6	6	$5,386.89	—	$2,496.82	$5,117.55	$4,821.26	2026-07-31
3251901	OTHER	Blade 7053-052-10 Truncated 52mm Hemi	6	6	$5,357.24	—	$2,483.08	$5,089.38	$4,794.73	2026-07-31
3216075	OTHER	Lithotripsy, Unilateral	6	6	$5,338.50	—	$2,474.39	$5,071.58	$4,777.96	2026-07-31
3256478	OTHER	Epifix Micronized 40mg	6	6	$5,181.02	—	$2,401.40	$4,921.97	$4,637.01	2026-07-31
4065230	OTHER	Pack Custom Laparoscopy	6	6	$5,143.65	—	$2,384.08	$4,886.47	$4,603.57	2026-07-31
4064603	OTHER	Femoral 8775-036-03 Head 36mm 12/14 Tape	6	6	$5,077.08	—	$2,353.23	$4,823.23	$4,543.99	2026-07-31
4062977	OTHER	Femoral 8775-036-04 Head 36mm +7mm	6	6	$5,077.07	—	$2,353.22	$4,823.22	$4,543.98	2026-07-31
0164	RC	—	2	2	$1,200.00	$1,200.00	$4,495.65	$4,495.65	$4,495.65	2026-07-15
0111	RC	—	2	2	$6,500.00	$6,500.00	$4,495.65	$4,495.65	$4,495.65	2026-07-15
0110	RC	—	2	2	$6,500.00	$6,500.00	$4,495.65	$4,495.65	$4,495.65	2026-07-15
3253558	OTHER	Brace Back (surgicare)	6	6	$4,599.00	—	$2,131.64	$4,369.05	$4,116.11	2026-07-31
4095035	OTHER	Tack Abstack30 Fixation Device	6	6	$4,583.51	—	$2,124.46	$4,354.33	$4,102.24	2026-07-31
4091813	OTHER	Harmonic Shears Har9f 9mm Focus	6	6	$4,444.01	—	$2,059.80	$4,221.81	$3,977.39	2026-07-31
3275600	OTHER	Drill 1147-026-00 Q/c Cannulated 2.7mm	6	6	$4,388.00	—	$2,033.84	$4,168.60	$3,927.26	2026-07-31
4098202	OTHER	Femoral 8775-032-02 Head 32mm 12/14 Tape	6	6	$4,330.85	—	$2,007.35	$4,114.31	$3,876.11	2026-07-31
4092802	OTHER	Femoral 8775-028-02 Head 28mm	6	6	$4,330.06	—	$2,006.98	$4,113.56	$3,875.40	2026-07-31
4095277	OTHER	Epifix 18mm Disk	6	6	$4,229.40	—	$1,960.33	$4,017.93	$3,785.32	2026-07-31
4064900	OTHER	Drill 1147-029-00 Cannulated (trinkle)	6	6	$4,229.40	—	$1,960.33	$4,017.93	$3,785.32	2026-07-31
4091714	OTHER	Head Versa-dial 46x21x50 Hum	6	6	$4,055.38	—	$1,879.67	$3,852.61	$3,629.57	2026-07-31
4093652	OTHER	Head Versa-dial 50x21x57 Hum	6	6	$4,055.38	—	$1,879.67	$3,852.61	$3,629.57	2026-07-31
4091221	OTHER	Head Versa-dial 46x21x50 Hum	6	6	$4,055.38	—	$1,879.67	$3,852.61	$3,629.57	2026-07-31
3252775	OTHER	Liner 8752-011-36 Elevated Jj 36x54	6	6	$3,984.07	—	$1,846.62	$3,784.87	$3,565.74	2026-07-31
3257694	OTHER	Liner 8752-010-36 Elevated Rim Liner 36	6	6	$3,984.07	—	$1,846.62	$3,784.87	$3,565.74	2026-07-31
4098436	OTHER	Liner 8752-009-32 Elevated Hh 32mm	6	6	$3,984.07	—	$1,846.62	$3,784.87	$3,565.74	2026-07-31
4061881	OTHER	Stem 00-5988-010-10 Ext 10mmx145mm	6	6	$3,903.66	—	$1,809.35	$3,708.48	$3,493.78	2026-07-31
4061414	OTHER	Stem 00-5988-010-14 Ext 14mmx145mm	6	6	$3,903.66	—	$1,809.35	$3,708.48	$3,493.78	2026-07-31
4093443	OTHER	Stem 00-5988-010-16 Ext 16mmx145mm	6	6	$3,903.66	—	$1,809.35	$3,708.48	$3,493.78	2026-07-31
4065755	OTHER	Stem 5988-012-15 Ext Straight 15 X 75 Mm	6	6	$3,903.63	—	$1,809.33	$3,708.45	$3,493.75	2026-07-31
3257538	OTHER	Harmonic Scalpel Har36	6	6	$3,897.82	—	$1,806.64	$3,702.93	$3,488.55	2026-07-31
4066989	OTHER	Ligasure Maryland Jaw 44cm Long	6	6	$3,840.87	—	$1,780.24	$3,648.83	$3,437.57	2026-07-31
4094107	OTHER	Articular 5962-40-12 Surface Sz E F 12mm	6	6	$3,805.19	—	$1,763.71	$3,614.93	$3,405.64	2026-07-31
4093771	OTHER	Articular 5962-040-14 Lps Flex Cd 5-6mm	6	6	$3,805.19	—	$1,763.71	$3,614.93	$3,405.64	2026-07-31
4065210	OTHER	Articular 5962-022-10 Lps Flex Sz Cd	6	6	$3,805.19	—	$1,763.71	$3,614.93	$3,405.64	2026-07-31
4092352	OTHER	Articular 42-5214-004-11 Surface 11mm	6	6	$3,754.98	—	$1,740.43	$3,567.23	$3,360.70	2026-07-31
4062265	OTHER	Plate 131823050 Dvr Lock Wide Left	6	6	$3,713.66	—	$1,721.28	$3,527.98	$3,323.72	2026-07-31
3254212	OTHER	Plate 2357-018-06 Lckng 6-hole 106mm Lt	6	6	$3,661.35	—	$1,697.04	$3,478.28	$3,276.91	2026-07-31
4096898	OTHER	Ligasure Maryland Jaw 37cm Open	6	6	$3,625.81	—	$1,680.56	$3,444.52	$3,245.10	2026-07-31
4040441	OTHER	Needle Core Biopsy, Percutaneous	6	6	$3,538.00	—	$1,639.86	$3,361.10	$3,166.51	2026-07-31
3259484	OTHER	Fiber For Stonelight Laser Rental	6	6	$3,524.50	—	$1,633.61	$3,348.28	$3,154.43	2026-07-31
3254847	OTHER	Plate 2357-018-08 Left 8-hole 132mm	6	6	$3,504.44	—	$1,624.31	$3,329.22	$3,136.47	2026-07-31
4062498	OTHER	Stem 5988-012-15 Extension 15 Mm X 30 Mm	6	6	$3,493.97	—	$1,619.46	$3,319.27	$3,127.10	2026-07-31
7065223	OTHER	CT Abd/Pel W/wo Contrast	6	6	$3,379.00	—	$1,566.17	$3,210.05	$3,024.20	2026-07-31
4080156	OTHER	Anesthesia 4 Hr	6	6	$3,371.35	—	$1,562.62	$3,202.78	$3,017.36	2026-07-31
4092266	OTHER	Obtryx 11 System Halo	6	6	$3,334.76	—	$1,545.66	$3,168.02	$2,984.61	2026-07-31
4064245	OTHER	Acl Pack Bone-tendon-bone	6	6	$3,289.20	—	$1,524.54	$3,124.74	$2,943.84	2026-07-31
4080149	OTHER	Anesthesia 3 3/4 Hr	6	6	$3,186.40	—	$1,476.90	$3,027.08	$2,851.83	2026-07-31
4065221	OTHER	Kit Retrofusion Screw Disposables	6	6	$3,172.05	—	$1,470.25	$3,013.45	$2,838.98	2026-07-31
3210045	OTHER	Bronchoscopy	6	6	$3,136.75	—	$1,453.88	$2,979.91	$2,807.39	2026-07-31
4069996	OTHER	Screw Ar-4157-20 Retrofusion 20mm	6	6	$3,120.87	—	$1,446.52	$2,964.83	$2,793.18	2026-07-31
3254998	OTHER	Plate 2357-018-04 Locking 4-hole 80mm Lt	6	6	$3,033.69	—	$1,406.12	$2,882.01	$2,715.15	2026-07-31
4080131	OTHER	Anesthesia 3 1/2 Hr	6	6	$3,013.35	—	$1,396.69	$2,862.68	$2,696.95	2026-07-31
4060011	OTHER	Nm Cardiac Stress/treadmill	6	6	$2,945.05	—	$1,365.03	$2,797.80	$2,635.82	2026-07-31
4060012	OTHER	Nm Cardiac Stress/lexiscan	6	6	$2,945.05	—	$1,365.03	$2,797.80	$2,635.82	2026-07-31
4066001	OTHER	Thallium Stress Inc. Wall And Ejection	6	6	$2,945.05	—	$1,365.03	$2,797.80	$2,635.82	2026-07-31
4066699	OTHER	Ligasure Lf1212a	6	6	$2,890.09	—	$1,339.56	$2,745.59	$2,586.63	2026-07-31
3259538	OTHER	Harmonic Shears Ace14s Open	6	6	$2,867.99	—	$1,329.31	$2,724.59	$2,566.85	2026-07-31
4080123	OTHER	Anesthesia 3 1/4 Hr	6	6	$2,830.55	—	$1,311.96	$2,689.02	$2,533.35	2026-07-31
7065221	OTHER	CT Abd/Pel With Contrast	6	6	$2,828.00	—	$1,310.78	$2,686.60	$2,531.06	2026-07-31
7065369	OTHER	CT Enterography	6	6	$2,828.00	—	$1,310.78	$2,686.60	$2,531.06	2026-07-31
4069177	OTHER	Fiber For Sphinxx Laser Rental	6	6	$2,819.60	—	$1,306.88	$2,678.62	$2,523.54	2026-07-31
4068474	OTHER	Plate Ar-1320om-03l Low Profile Wedge Lt	6	6	$2,772.17	—	$1,284.90	$2,633.56	$2,481.09	2026-07-31
4068977	OTHER	Skw Retractor	6	6	$2,650.42	—	$1,228.47	$2,517.90	$2,372.12	2026-07-31
4080115	OTHER	Anesthesia 3 Hr	6	6	$2,645.60	—	$1,226.24	$2,513.32	$2,367.81	2026-07-31
4063775	OTHER	Plate Sm Frag Locking Hf Right	6	6	$2,641.40	—	$1,224.29	$2,509.33	$2,364.06	2026-07-31
4050999	OTHER	US Echo Bubble Study	6	6	$2,638.15	—	$1,222.78	$2,506.24	$2,361.14	2026-07-31
4027751	OTHER	Musk Antibody	6	6	$2,585.30	—	$1,198.29	$2,456.04	$2,313.85	2026-07-31
3772158	OTHER	MRI Lumbar Spine W/wo Contrast	6	6	$2,550.15	—	$1,181.99	$2,422.64	$2,282.39	2026-07-31
3258538	OTHER	Harmonic Cutter Har23	6	6	$2,546.24	—	$1,180.18	$2,418.93	$2,278.89	2026-07-31
7065540	OTHER	CTA Aorta Abd Bil Iliofemeral Low Ext Ru	6	6	$2,526.00	—	$1,170.80	$2,399.70	$2,260.77	2026-07-31
3210057	OTHER	Colonoscopy	6	6	$2,512.50	—	$1,164.54	$2,386.88	$2,248.69	2026-07-31
20275022	OTHER	Closed Tx Femoral Shaft Fracture Lt	6	6	$2,500.00	—	$1,158.75	$2,375.00	$2,237.50	2026-07-31
20275021	OTHER	Closed Tx Femoral Shaft Fracture Rt	6	6	$2,500.00	—	$1,158.75	$2,375.00	$2,237.50	2026-07-31
20275020	OTHER	Closed Tx Femoral Shaft Fracture	6	6	$2,500.00	—	$1,158.75	$2,375.00	$2,237.50	2026-07-31
4092868	OTHER	Pico Wound Vac Pad 10 X15	6	6	$2,486.89	—	$1,152.67	$2,362.55	$2,225.76	2026-07-31
4080107	OTHER	Anesthesia 2 3/4 Hr	6	6	$2,466.05	—	$1,143.01	$2,342.75	$2,207.11	2026-07-31
4098603	OTHER	Femoral 8018-36-03 Head 12/14 36 Mm 3.5	6	6	$2,465.31	—	$1,142.67	$2,342.04	$2,206.45	2026-07-31
4098601	OTHER	Femoral 8018-036-01 Head 36mm 12/14 Tap	6	6	$2,465.31	—	$1,142.67	$2,342.04	$2,206.45	2026-07-31
4062729	OTHER	Plate 131217003 Small Frag Locking Hs Y	6	6	$2,432.18	—	$1,127.32	$2,310.57	$2,176.80	2026-07-31
4060071	OTHER	Neutrospec Scan With Spect	6	6	$2,355.50	—	$1,091.77	$2,237.73	$2,108.18	2026-07-31
4063323	OTHER	Driver 00-5987-089-00 Legacy Screw	6	6	$2,326.17	—	$1,078.18	$2,209.86	$2,081.92	2026-07-31
4062510	OTHER	Screw 47-2485-105-10 10.5 X 105 Lag	6	6	$2,301.42	—	$1,066.71	$2,186.35	$2,059.77	2026-07-31
4095184	OTHER	Screw 47-2485-090-10 10.5 X 90 Lag	6	6	$2,301.42	—	$1,066.71	$2,186.35	$2,059.77	2026-07-31
4062010	OTHER	Screw 47-2485-100-10 10.5 X 100 Lag	6	6	$2,301.42	—	$1,066.71	$2,186.35	$2,059.77	2026-07-31
4063510	OTHER	Screw 47-2485-095-10 10.5 X 95 Lag	6	6	$2,301.42	—	$1,066.71	$2,186.35	$2,059.77	2026-07-31
4065038	OTHER	Patella 42-5400-000-38 Poly 38mm	6	6	$2,286.25	—	$1,059.68	$2,171.94	$2,046.20	2026-07-31
4064032	OTHER	Patella 42-5400-000-32 Poly 32mm	6	6	$2,286.25	—	$1,059.68	$2,171.94	$2,046.20	2026-07-31
4064035	OTHER	Patella 42-5400-000-35 Poly 35mm	6	6	$2,286.25	—	$1,059.68	$2,171.94	$2,046.20	2026-07-31
4080099	OTHER	Anesthesia 2 1/2 Hr	6	6	$2,281.10	—	$1,057.29	$2,167.05	$2,041.59	2026-07-31
3210066	OTHER	Enteroscopy	6	6	$2,264.50	—	$1,049.60	$2,151.28	$2,026.73	2026-07-31
4091616	OTHER	Glenoid Sm Hybrid Base 4mm	6	6	$2,256.09	—	$1,045.70	$2,143.29	$2,019.20	2026-07-31
4093744	OTHER	Base Md Hybrid Glenoid 4mm	6	6	$2,256.09	—	$1,045.70	$2,143.29	$2,019.20	2026-07-31
4098510	OTHER	Kit 5049-55-00 Quik-use Bone Cement Prep	6	6	$2,255.68	—	$1,045.51	$2,142.90	$2,018.84	2026-07-31
7065174	OTHER	CT Abdomen/pelvis Without Contrast (ivp)	6	6	$2,246.00	—	$1,041.02	$2,133.70	$2,010.17	2026-07-31
7065222	OTHER	CT Abd/Pel Without Contrast (No Iv)	6	6	$2,246.00	—	$1,041.02	$2,133.70	$2,010.17	2026-07-31
61015277	OTHER	Skin Sub F/n/fh/ >100 Sq Cm 1st 25 Sq Cm	6	6	$2,206.45	—	$1,022.69	$2,096.13	$1,974.78	2026-07-31
20278181	OTHER	Closed Tx Trimalleolar Lt Ankle Fx W/man	6	6	$2,200.00	—	$1,019.70	$2,090.00	$1,969.00	2026-07-31
20278180	OTHER	Closed Tx Trimalleolar Rt Ankle Fx W/man	6	6	$2,200.00	—	$1,019.70	$2,090.00	$1,969.00	2026-07-31
4091387	OTHER	Drill 14629 Cannulated	6	6	$2,199.29	—	$1,019.37	$2,089.33	$1,968.36	2026-07-31
3770547	OTHER	MRA Neck W/out Contrast	6	6	$2,188.60	—	$1,014.42	$2,079.17	$1,958.80	2026-07-31
7065080	OTHER	CT Abd Without And With Contr	6	6	$2,171.10	—	$1,006.30	$2,062.55	$1,943.13	2026-07-31
7065126	OTHER	CT Bi-phasic Liver Without And W Contrast	6	6	$2,171.10	—	$1,006.30	$2,062.55	$1,943.13	2026-07-31
61015273	OTHER	Skin Sub T/a/l >100 Sq Cm 1st 25 Sq Cm	6	6	$2,156.14	—	$999.37	$2,048.33	$1,929.74	2026-07-31
3770553	OTHER	MRI Head W/wocontrast	6	6	$2,148.15	—	$995.67	$2,040.74	$1,922.59	2026-07-31
7065520	OTHER	CTA Head	6	6	$2,142.25	—	$992.93	$2,035.14	$1,917.32	2026-07-31
7065144	OTHER	CT Angio Of Circle Of Willis	6	6	$2,142.25	—	$992.93	$2,035.14	$1,917.32	2026-07-31
3210053	OTHER	Gastroscopy W/dilation 0	6	6	$2,137.35	—	$990.66	$2,030.48	$1,912.93	2026-07-31
3210032	OTHER	Gastroscopy	6	6	$2,137.35	—	$990.66	$2,030.48	$1,912.93	2026-07-31
7065525	OTHER	CTA Neck	6	6	$2,127.15	—	$985.93	$2,020.79	$1,903.80	2026-07-31
7065148	OTHER	CT Angio Of Carotid Arteries	6	6	$2,127.15	—	$985.93	$2,020.79	$1,903.80	2026-07-31
4080081	OTHER	Anesthesia 2 1/4 Hr	6	6	$2,102.65	—	$974.58	$1,997.52	$1,881.88	2026-07-31
4063242	OTHER	Versitomic Pin Pack	6	6	$2,096.58	—	$971.76	$1,991.75	$1,876.44	2026-07-31
4096333	OTHER	Vivacit Dm Bearing 28x46MM 110031013	6	6	$2,092.20	—	$969.73	$1,987.59	$1,872.52	2026-07-31
4065625	OTHER	G7 20123605 High Wall 36 Mm E	6	6	$2,092.20	—	$969.73	$1,987.59	$1,872.52	2026-07-31
4068552	OTHER	Pack Custom Total Knee	6	6	$2,083.72	—	$965.80	$1,979.53	$1,864.93	2026-07-31
4091854	OTHER	Perfix Plug Mesh X Large	6	6	$2,069.59	—	$959.25	$1,966.11	$1,852.29	2026-07-31
7065138	OTHER	CT Lower Extremity With Contrast	6	6	$2,062.40	—	$955.92	$1,959.28	$1,845.85	2026-07-31
7065530	OTHER	CTA Chest Non Coronary (pe Protocol)	6	6	$2,048.65	—	$949.55	$1,946.22	$1,833.55	2026-07-31
3254877	OTHER	Kit 5049-35-01 Compact Mixing System	6	6	$2,044.21	—	$947.49	$1,942.00	$1,829.57	2026-07-31
7065072	OTHER	CT Pelvis With Contrast	6	6	$2,034.30	—	$942.90	$1,932.59	$1,820.70	2026-07-31
3770546	OTHER	MRA Head W/wo Contrast	6	6	$2,023.90	—	$938.08	$1,922.71	$1,811.39	2026-07-31
3770549	OTHER	MRA Neck W/wocontrast	6	6	$2,023.90	—	$938.08	$1,922.71	$1,811.39	2026-07-31
3771552	OTHER	MRI Chest W/wo Contrast	6	6	$2,020.05	—	$936.29	$1,919.05	$1,807.94	2026-07-31
3773720	OTHER	MRI Rt. Lower Extrem, Not Joint, W/wo C	6	6	$2,010.75	—	$931.98	$1,910.21	$1,799.62	2026-07-31
3770543	OTHER	MRI Orbit/face/neck W/wo Contrast	6	6	$2,010.75	—	$931.98	$1,910.21	$1,799.62	2026-07-31
3773220	OTHER	MRI Rt. Upper Extrem, Not Joint, W/wo C	6	6	$2,010.75	—	$931.98	$1,910.21	$1,799.62	2026-07-31
3779986	OTHER	MRI Lt. Upper Extrem, Not Joint, W/wo C	6	6	$2,010.75	—	$931.98	$1,910.21	$1,799.62	2026-07-31
3779995	OTHER	MRI Lt. Lower Extrem, Not Joint, W/wo C	6	6	$2,010.75	—	$931.98	$1,910.21	$1,799.62	2026-07-31
3773223	OTHER	MRI Rt. Upper Extrem, Joint, W/wo Cont	6	6	$2,008.80	—	$931.08	$1,908.36	$1,797.88	2026-07-31
3779989	OTHER	MRI Lt. Upper Extrem, Joint, W/wo Cont	6	6	$2,008.80	—	$931.08	$1,908.36	$1,797.88	2026-07-31
4093758	OTHER	Femoral 8018-032-14 Head 32 Mm +7	6	6	$2,008.51	—	$930.94	$1,908.08	$1,797.62	2026-07-31
4092948	OTHER	Femoral 8018-28-05 Head	6	6	$2,008.51	—	$930.94	$1,908.08	$1,797.62	2026-07-31
3779992	OTHER	MRI Lt. Lower Extremity, Joint, W/wo C	6	6	$2,007.55	—	$930.50	$1,907.17	$1,796.76	2026-07-31
3773723	OTHER	MRI Rt. Lower Extremity, Joint, W/wo C	6	6	$2,007.55	—	$930.50	$1,907.17	$1,796.76	2026-07-31
3772197	OTHER	MRI Pelvis W/wo Contrast	6	6	$2,006.90	—	$930.20	$1,906.56	$1,796.18	2026-07-31
3774183	OTHER	MRI Abdomen W/wo Contrast	6	6	$1,997.15	—	$925.68	$1,897.29	$1,787.45	2026-07-31
4055327	OTHER	Thoracentisis	6	6	$1,995.52	—	$924.92	$1,895.74	$1,785.99	2026-07-31
4055301	OTHER	US Guidance Thorocentesis	6	6	$1,995.52	—	$924.92	$1,895.74	$1,785.99	2026-07-31
3772156	OTHER	MRI Cervical Spine W/wo Contrast	6	6	$1,988.40	—	$921.62	$1,888.98	$1,779.62	2026-07-31
3772157	OTHER	MRI Thoracic Spine W/wo Contrast	6	6	$1,984.40	—	$919.77	$1,885.18	$1,776.04	2026-07-31
3253324	OTHER	Patella 5972-65-26 Component Sz 26	6	6	$1,977.13	—	$916.40	$1,878.27	$1,769.54	2026-07-31
3770544	OTHER	MRA Head W/out Contrast	6	6	$1,962.45	—	$909.60	$1,864.33	$1,756.39	2026-07-31
4093015	OTHER	Mesh Sym15 Composite Symbotex 15 Cm	6	6	$1,954.53	—	$905.92	$1,856.80	$1,749.30	2026-07-31
3259144	OTHER	Flexi-seal Signal Fecal Managment System	6	6	$1,949.26	—	$903.48	$1,851.80	$1,744.59	2026-07-31
61015275	OTHER	Skin Sub F/n/fh/ <100 Sq Cm 1st 25 Sq Cm	6	6	$1,944.05	—	$901.07	$1,846.85	$1,739.93	2026-07-31
61015271	OTHER	Skin Sub T/a/l <100 Sq Cm 1st 25 Sq Cm	6	6	$1,920.32	—	$890.07	$1,824.30	$1,718.68	2026-07-31
4080073	OTHER	Anesthesia 2 Hr	6	6	$1,915.50	—	$887.83	$1,819.73	$1,714.38	2026-07-31
7065042	OTHER	CT Chest Without And With Cont	6	6	$1,890.95	—	$876.46	$1,796.40	$1,692.40	2026-07-31
3210055	OTHER	Flexible Sigmoidoscopy	6	6	$1,884.09	—	$873.28	$1,789.89	$1,686.26	2026-07-31
4099856	OTHER	Dilator Ureteral Balloon	6	6	$1,851.70	—	$858.26	$1,759.12	$1,657.27	2026-07-31
2067715	OTHER	Canthotomy	6	6	$1,850.00	—	$857.48	$1,757.50	$1,655.75	2026-07-31
7065078	OTHER	CT Abd With Contr	6	6	$1,846.45	—	$855.83	$1,754.13	$1,652.57	2026-07-31
7065014	OTHER	CT Head With Contrast	6	6	$1,840.70	—	$853.16	$1,748.67	$1,647.43	2026-07-31
4068851	OTHER	Pack Custom Total Hip Replacement	6	6	$1,837.46	—	$851.66	$1,745.59	$1,644.53	2026-07-31
4065418	OTHER	Cable 2232-04-18 Cerclage W/crimp 1.8mm	6	6	$1,830.68	—	$848.52	$1,739.15	$1,638.46	2026-07-31
7065049	OTHER	CT Thor Spine With Without Contrast	6	6	$1,822.60	—	$844.78	$1,731.47	$1,631.22	2026-07-31
7065050	OTHER	CT Cerv Spine W/without Contrast	6	6	$1,822.60	—	$844.78	$1,731.47	$1,631.22	2026-07-31
7065061	OTHER	CT Lum Spine With Without Contrast	6	6	$1,822.60	—	$844.78	$1,731.47	$1,631.22	2026-07-31
3255520	OTHER	Drill 2360-175-20 Standard 2.0mm	6	6	$1,797.50	—	$833.14	$1,707.63	$1,608.76	2026-07-31
7065074	OTHER	CT Pelvis Without And With Contrast	6	6	$1,786.30	—	$827.95	$1,696.99	$1,598.74	2026-07-31
7065016	OTHER	CT Head With & Without Contrast	6	6	$1,781.90	—	$825.91	$1,692.81	$1,594.80	2026-07-31
3773718	OTHER	MRI Rt. Lower Extrem, Not Joint, Without C	6	6	$1,769.20	—	$820.02	$1,680.74	$1,583.43	2026-07-31
3779996	OTHER	MRI Lt. Lower Extrem, Not Joint, Without C	6	6	$1,769.20	—	$820.02	$1,680.74	$1,583.43	2026-07-31
3256968	OTHER	Kit Peco Dressing 6 X6	6	6	$1,761.33	—	$816.38	$1,673.26	$1,576.39	2026-07-31
4093468	OTHER	Kit Peco Dressing 15cm X 20cm	6	6	$1,761.33	—	$816.38	$1,673.26	$1,576.39	2026-07-31
7065037	OTHER	CT Chest With Cont	6	6	$1,759.70	—	$815.62	$1,671.72	$1,574.93	2026-07-31
7065128	OTHER	CT Bi-phasic Liver With Contrast	6	6	$1,758.50	—	$815.06	$1,670.58	$1,573.86	2026-07-31
4025482	OTHER	Jak2 Mutation Analysis With Reflex	6	6	$1,751.00	—	$811.59	$1,663.45	$1,567.14	2026-07-31
61115275	OTHER	Skin Sub F/n/fh/g <100 Sq Cm 1st 25 Sq C	6	6	$1,750.00	—	$811.13	$1,662.50	$1,566.25	2026-07-31
61112577	OTHER	Skin Sub F/n/fh/g >100 Sq Cm 1st 25 Sq C	6	6	$1,750.00	—	$811.13	$1,662.50	$1,566.25	2026-07-31
61115271	OTHER	Skin Sub T/a/l <100 Sq Cm 1st 25 Sq Cm	6	6	$1,750.00	—	$811.13	$1,662.50	$1,566.25	2026-07-31
61115273	OTHER	Skin Sub T/a/l >100 Sq Cm 1st 25 Sq Cm	6	6	$1,750.00	—	$811.13	$1,662.50	$1,566.25	2026-07-31
3258848	OTHER	Esophageal Dilation Catheter 60 Fr.	6	6	$1,739.34	—	$806.18	$1,652.37	$1,556.71	2026-07-31
4080065	OTHER	Anesthesia 1 3/4 Hr	6	6	$1,737.05	—	$805.12	$1,650.20	$1,554.66	2026-07-31
4055007	OTHER	US Echo W/dop & Color Flow	6	6	$1,731.50	—	$802.55	$1,644.93	$1,549.69	2026-07-31
61010140	OTHER	I&d Hematoma	6	6	$1,731.20	—	$802.41	$1,644.64	$1,549.42	2026-07-31
4060366	OTHER	Gastric Emptying Study	6	6	$1,720.35	—	$797.38	$1,634.33	$1,539.71	2026-07-31
4095558	OTHER	Pp Suture Cartridge Om-8176	6	6	$1,695.15	—	$785.70	$1,610.39	$1,517.16	2026-07-31
4095557	OTHER	Pp Mw Black Cobraid Om-8177	6	6	$1,695.15	—	$785.70	$1,610.39	$1,517.16	2026-07-31
4095551	OTHER	Pp Suture Cartridge Om-8175	6	6	$1,695.15	—	$785.70	$1,610.39	$1,517.16	2026-07-31
3773721	OTHER	MRI Rt. Lower Extrem, Joint, Without Cntrst	6	6	$1,676.65	—	$777.13	$1,592.82	$1,500.61	2026-07-31
3779994	OTHER	MRI Lt. Lower Extrem, Joint, Without Cntrst	6	6	$1,676.65	—	$777.13	$1,592.82	$1,500.61	2026-07-31
4068097	OTHER	Nm Mag3	6	6	$1,659.91	—	$769.37	$1,576.91	$1,485.62	2026-07-31
3255913	OTHER	Esophageal Dilation Catheter 12mm	6	6	$1,656.52	—	$767.80	$1,573.69	$1,482.59	2026-07-31
4067192	OTHER	Trocar Bluntport 10mm	6	6	$1,635.49	—	$758.05	$1,553.72	$1,463.76	2026-07-31
4096414	OTHER	Magnum Implant Knotless Fix	6	6	$1,632.55	—	$756.69	$1,550.92	$1,461.13	2026-07-31
3210065	OTHER	Cystoscopy	6	6	$1,628.56	—	$754.84	$1,547.13	$1,457.56	2026-07-31
4098118	OTHER	Soft Tissue 234-020-280 Acl Disp Pack	6	6	$1,627.10	—	$754.16	$1,545.75	$1,456.26	2026-07-31
3772146	OTHER	MRI Thoracic Spine W/out Contrast	6	6	$1,625.70	—	$753.51	$1,544.42	$1,455.00	2026-07-31
74177	HCPCS	CT Abdomen/pelvis W/contrast	3	3	$2,500.00	$2,500.00	$1,422.82	$1,572.05	$1,449.52	2026-07-15
7065031	OTHER	CT Neck Without & W Contrast	6	6	$1,615.90	—	$748.97	$1,535.11	$1,446.23	2026-07-31
7065030	OTHER	CT Neck With Contrast	6	6	$1,610.75	—	$746.58	$1,530.21	$1,441.62	2026-07-31
7065140	OTHER	CT Lower Extremity Without And With Contrast	6	6	$1,605.30	—	$744.06	$1,525.04	$1,436.74	2026-07-31
7065134	OTHER	CT Upper Extremity Without And With Contrast	6	6	$1,605.30	—	$744.06	$1,525.04	$1,436.74	2026-07-31
7065106	OTHER	CT Orbits W/o&w Cont	6	6	$1,604.25	—	$743.57	$1,524.04	$1,435.80	2026-07-31
3773219	OTHER	MRI Rt. Upper Extrem, Not Joint, W/cont	6	6	$1,602.85	—	$742.92	$1,522.71	$1,434.55	2026-07-31
3779988	OTHER	MRI Lt. Upper Extrem, Not Joint, W/cont	6	6	$1,602.85	—	$742.92	$1,522.71	$1,434.55	2026-07-31
3770542	OTHER	MRI Orbit/face/neck W/contrast	6	6	$1,600.85	—	$741.99	$1,520.81	$1,432.76	2026-07-31
3773719	OTHER	MRI Rt.lower Extrem, Not Joint, W/cntrs	6	6	$1,600.85	—	$741.99	$1,520.81	$1,432.76	2026-07-31
3774182	OTHER	MRI Abdomen W/contrast	6	6	$1,600.85	—	$741.99	$1,520.81	$1,432.76	2026-07-31
3779997	OTHER	MRI Lt. Lower Extrem, Not Joint, W/cntrs	6	6	$1,600.85	—	$741.99	$1,520.81	$1,432.76	2026-07-31
3779993	OTHER	MRI Lt. Lower Extremity, Joint, W/cont	6	6	$1,600.20	—	$741.69	$1,520.19	$1,432.18	2026-07-31
3779990	OTHER	MRI Lt. Upper Extrem, Joint, W/con	6	6	$1,600.20	—	$741.69	$1,520.19	$1,432.18	2026-07-31
3773222	OTHER	MRI Rt. Upper Extrem, Joint, W/con	6	6	$1,600.20	—	$741.69	$1,520.19	$1,432.18	2026-07-31
3773722	OTHER	MRI Rt. Lower Extremity, Joint, W/cont	6	6	$1,600.20	—	$741.69	$1,520.19	$1,432.18	2026-07-31
3772196	OTHER	MRI Pelvis W/contrast	6	6	$1,598.90	—	$741.09	$1,518.96	$1,431.01	2026-07-31
3770548	OTHER	MRA Neck W/contrast	6	6	$1,596.85	—	$740.14	$1,517.01	$1,429.18	2026-07-31
3771556	OTHER	MRA Chest W Contrast	6	6	$1,596.85	—	$740.14	$1,517.01	$1,429.18	2026-07-31
3770545	OTHER	MRA Head W/contrast	6	6	$1,595.60	—	$739.56	$1,515.82	$1,428.06	2026-07-31
3773725	OTHER	MRA Rt. Lower Extremity W/wo Cntrst	6	6	$1,595.60	—	$739.56	$1,515.82	$1,428.06	2026-07-31
3779999	OTHER	MRA Lt. Lower Extremity W/wo Cntrst	6	6	$1,595.60	—	$739.56	$1,515.82	$1,428.06	2026-07-31
3771555	OTHER	MRA Chest W/wo Contrast	6	6	$1,594.95	—	$739.26	$1,515.20	$1,427.49	2026-07-31
3772198	OTHER	MRA Pelvis W/wo Contrast	6	6	$1,594.95	—	$739.26	$1,515.20	$1,427.49	2026-07-31
3771551	OTHER	MRI Chest W/contrast	6	6	$1,594.95	—	$739.26	$1,515.20	$1,427.49	2026-07-31
3774185	OTHER	MRA Abdomen W/wo Contrast	6	6	$1,594.30	—	$738.96	$1,514.59	$1,426.90	2026-07-31
3779991	OTHER	MRI Lt. Upper Ext Joint Without Cont	6	6	$1,593.85	—	$738.75	$1,514.16	$1,426.50	2026-07-31
3773221	OTHER	MRI Rt. Upper Ext Joint Without Cont	6	6	$1,593.85	—	$738.75	$1,514.16	$1,426.50	2026-07-31
3772159	OTHER	MRA Spinal Canal W/wout Contrast	6	6	$1,591.00	—	$737.43	$1,511.45	$1,423.95	2026-07-31
3770552	OTHER	MRI Head W/contrast	6	6	$1,591.00	—	$737.43	$1,511.45	$1,423.95	2026-07-31
3772142	OTHER	MRI Cervical Spine W/contrast	6	6	$1,591.00	—	$737.43	$1,511.45	$1,423.95	2026-07-31
3772149	OTHER	MRI Lumbar Spine W/contrast	6	6	$1,591.00	—	$737.43	$1,511.45	$1,423.95	2026-07-31
3772147	OTHER	MRI Thoracic Spine W/contrast	6	6	$1,587.00	—	$735.57	$1,507.65	$1,420.37	2026-07-31
4060119	OTHER	Nm-renal W/flow W/captopril	6	6	$1,571.65	—	$728.46	$1,493.07	$1,406.63	2026-07-31
4061242	OTHER	Balloon Dilation Catheter 30 Fr.	6	6	$1,566.01	—	$725.85	$1,487.71	$1,401.58	2026-07-31
3770551	OTHER	MRI Head W/out Contrast	6	6	$1,560.20	—	$723.15	$1,482.19	$1,396.38	2026-07-31
4060117	OTHER	Nm-renal & Flow	6	6	$1,559.75	—	$722.94	$1,481.76	$1,395.98	2026-07-31
2024605	OTHER	Closed Tx Elbow Dislocation Req Anesthei	6	6	$1,559.00	—	$722.60	$1,481.05	$1,395.30	2026-07-31
4080057	OTHER	Anesthesia 1 1/2 Hr	6	6	$1,556.40	—	$721.39	$1,478.58	$1,392.98	2026-07-31
3210052	OTHER	Laser System	6	6	$1,550.00	—	$718.43	$1,472.50	$1,387.25	2026-07-31
4060168	OTHER	Sentinal Node And Lymph Node Imaging	6	6	$1,543.30	—	$715.32	$1,466.14	$1,381.26	2026-07-31
4094007	OTHER	Plate 4936-010-07 Lock Dual Com 10-hole	6	6	$1,543.00	—	$715.18	$1,465.85	$1,380.99	2026-07-31
7065056	OTHER	CT Thoracic Spine With Contrast	6	6	$1,542.70	—	$715.04	$1,465.57	$1,380.72	2026-07-31
7065064	OTHER	CT Lumbar Spine With Contrast	6	6	$1,542.70	—	$715.04	$1,465.57	$1,380.72	2026-07-31
7065048	OTHER	CT Cervical Spine With Contrast	6	6	$1,542.70	—	$715.04	$1,465.57	$1,380.72	2026-07-31
4016267	OTHER	.plt Hla Matched,leukoreduced, Ea Unit	6	6	$1,527.20	—	$707.86	$1,450.84	$1,366.85	2026-07-31
3772148	OTHER	MRI Lumbar Spine W/out Contrast	6	6	$1,525.55	—	$707.09	$1,449.27	$1,365.37	2026-07-31
4092151	OTHER	Perfect Passer Connector	6	6	$1,525.41	—	$707.03	$1,449.14	$1,365.24	2026-07-31
36500700	OTHER	Critical Care	6	6	$1,516.80	—	$703.04	$1,440.96	$1,357.53	2026-07-31
4098990	OTHER	Extractor N Circle Delta Wire Tipless	6	6	$1,504.26	—	$697.22	$1,429.05	$1,346.31	2026-07-31
2026011	OTHER	Rx Felon	6	6	$1,500.00	—	$695.25	$1,425.00	$1,342.50	2026-07-31
3772141	OTHER	MRI Cervical Spine W/out Contrast	6	6	$1,494.60	—	$692.75	$1,419.87	$1,337.66	2026-07-31
4027306	OTHER	Encephalitis Panel Csf	6	6	$1,482.60	—	$687.19	$1,408.47	$1,326.92	2026-07-31
4013441	OTHER	Electron Microscopy, Dx	6	6	$1,466.20	—	$679.58	$1,392.89	$1,312.25	2026-07-31
3254977	OTHER	Extractors Dakota	6	6	$1,466.19	—	$679.58	$1,392.88	$1,312.24	2026-07-31
4016367	OTHER	Plateletpheresis,leukoreduced,irrad.,ea.	6	6	$1,449.45	—	$671.82	$1,376.98	$1,297.26	2026-07-31
2023655	OTHER	Reduction Shoulder W/anes	6	6	$1,425.00	—	$660.49	$1,353.75	$1,275.38	2026-07-31

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