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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

MACKINAC STRAITS HOSPITAL AND HEALTH CENTER

Saint Ignace, MI · CCN 231306 · Rates published

3,297 distinct procedures filed
4 distinct payers
17,000 rate rows
2026-07-22 last MRF observed
Data quality

16,556 of 17,000 rate rows are consumer-grade (97.4%)

444 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 414
percent-of-charges filed in the dollar field — excluded from medians 30
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbMSHSTIGNACEMI&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Mackinac_Straits_HS.aspx
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-13
Content fingerprint 71835f02051e94a4… · 2,621,881 bytes · first seen 2026-07-06

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
J1162
HCPCS 		Injection, Digoxin Immune Fab (ovine), Per Vial 3 $13,775.07 $16,087.56 $15,669.14 nat. median
$6,265
outlier · 2.5×
J9312
HCPCS 		Rituximab 10 Mg/ml Concentrate 50 Ml Vial 1 $12,063.72 $12,063.72 $12,063.72 nat. median
$739
outlier · 16.3×
50590
HCPCS 		Shock Wave Crushing Of Kidney Stones 3 $10,021.60 $11,703.98 $11,399.57 nat. median
$4,399
outlier · 2.6×
15120
HCPCS 		Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 3 $9,226.40 $10,775.28 $10,495.03 nat. median
$3,620
outlier · 2.9×
C1821
HCPCS 		Spacer Rise-l 18x50 8-15mm 6 Deg (193.324) 1 $10,310.40 $10,310.40 $10,310.40 nat. median
$5,591
1.8× median
HB-360003620_1
CDM 		Operating Room Services - General Classification 3 $6,854.40 $8,005.08 $7,796.88 —
C2621
HCPCS 		Pacemaker Allure Rf Crt-p Cell (pm3222) 1 $7,370.32 $7,370.32 $7,370.32 nat. median
$11,743
0.6× median
52356
CPT 		Hc Lithotripsy Facility With Cyst/Stent 1 $7,115.25 $7,115.25 $7,115.25 nat. median
$5,641
1.3× median
HB-360003600_1
CDM 		Operating Room Services - General Classification 3 $6,056.80 $7,073.59 $6,889.61 —
15274
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 3 $4,379.20 $10,060.54 $6,864.38 nat. median
$549
outlier · 12.5×
15273
HCPCS 		Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 3 $4,379.20 $10,060.54 $6,864.38 nat. median
$2,471
outlier · 2.8×
50590
CPT 		Hc Lithotripsy 1 $6,406.41 $6,406.41 $6,406.41 nat. median
$4,399
1.5× median
52353
CPT 		Hc Cystourethroscopy W Lithotripsy 1 $6,207.72 $6,207.72 $6,207.72 nat. median
$5,344
1.2× median
C1785
HCPCS 		Pacemaker Gen Cb7 Advisa Dr MRI (cb7) 1 $5,992.92 $5,992.92 $5,992.92 nat. median
$7,020
0.9× median
52356
HCPCS 		Crushing Of Stone Of Ureter With Insertion Of Stent Using An Endoscope 3 $402.18 $12,998.92 $5,866.87 nat. median
$5,641
1.0× median
HB-360002330_1
CDM 		Operating Room Services - General Classification 3 $4,830.40 $5,641.30 $5,494.58 —
C1713
HCPCS 		Scr Ort Syn 2.7 Cortex S-t 16mm(202.816) 1 $60.80 $10,429.45 $5,245.13 nat. median
$1,045
outlier · 5.0×
15002
HCPCS 		Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 3 $4,610.40 $5,384.37 $5,244.33 nat. median
$1,442
outlier · 3.6×
15115
HCPCS 		Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 3 $4,610.40 $5,384.37 $5,244.33 nat. median
$2,156
outlier · 2.4×
15100
HCPCS 		Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 3 $4,610.40 $5,384.37 $5,244.33 nat. median
$2,243
outlier · 2.3×
G0465
HCPCS 		Autologous Platelet Rich Plasma (prp) Or Other Blood-derived Product For Diabeti… 3 $4,610.40 $5,384.37 $5,244.33 nat. median
$2,193
outlier · 2.4×
15110
HCPCS 		Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 3 $4,610.40 $5,384.37 $5,244.33 nat. median
$2,164
outlier · 2.4×
52353
HCPCS 		Crushing Of Stone Of Ureter Using An Endoscope 3 $378.38 $11,340.53 $5,139.20 nat. median
$5,344
1.0× median
70549
HCPCS 		MRI Scan Of Blood Vessels Of Neck Before And After Contrast 3 $4,297.60 $5,019.06 $4,888.52 nat. median
$606
outlier · 8.1×
HB-360002320_1
CDM 		Operating Room Services - General Classification 3 $4,216.80 $4,924.70 $4,796.61 —
50688
HCPCS 		Change Of Tube Or Stent In Ureter 3 $4,116.00 $4,806.97 $4,681.95 nat. median
$2,250
outlier · 2.1×
11044
HCPCS 		Removal Of Bone, 20.0 Sq Cm Or Less 3 $4,083.20 $4,768.67 $4,644.64 nat. median
$1,716
outlier · 2.7×
28001
HCPCS 		Drainage Of Fluid Filled Sac In Foot 3 $4,083.20 $4,768.67 $4,644.64 nat. median
$1,689
outlier · 2.7×
11047
HCPCS 		Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 3 $4,083.20 $4,768.67 $4,644.64 nat. median
$483
outlier · 9.6×
20220
HCPCS 		Biopsy Of Bone Using Needle Or Trocar 3 $4,083.20 $4,768.67 $4,644.64 nat. median
$1,725
outlier · 2.7×
20225
HCPCS 		Deep Biopsy Of Bone Using Needle Or Trocar 3 $4,083.20 $4,768.67 $4,644.64 nat. median
$1,953
outlier · 2.4×
28010
HCPCS 		Repair Of Toe Tendon 3 $4,033.60 $4,710.74 $4,588.22 nat. median
$1,762
outlier · 2.6×
HB-360002310_1
CDM 		Operating Room Services - General Classification 3 $3,889.60 $4,542.57 $4,424.42 —
70546
HCPCS 		MRI Scan Of Blood Vessels Of Head Before And After Contrast 3 $3,868.00 $4,517.34 $4,399.85 nat. median
$625
outlier · 7.0×
72197
HCPCS 		MRI Scan Of Pelvis Before And After Contrast 3 $3,834.40 $4,478.10 $4,361.63 nat. median
$606
outlier · 7.2×
70553
HCPCS 		MRI Scan Of Brain Before And After Contrast 3 $3,764.00 $4,395.88 $4,281.55 nat. median
$616
outlier · 7.0×
70543
HCPCS 		MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 3 $3,683.20 $4,301.52 $4,189.64 nat. median
$605
outlier · 6.9×
C1786
HCPCS 		Pacemaker Accolade Sr Sngl (l300) 1 $4,188.60 $4,188.60 $4,188.60 nat. median
$7,961
0.5× median
74183
HCPCS 		MRI Scan Of Abdomen Before And After Contrast 3 $3,625.60 $4,488.38 $4,179.18 nat. median
$611
outlier · 6.8×
73720
HCPCS 		MRI Scan Of Leg Before And After Contrast 3 $3,668.80 $4,284.70 $4,173.26 nat. median
$754
outlier · 5.5×
64633
HCPCS 		Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 3 $256.84 $4,806.97 $4,116.00 nat. median
$2,156
1.9× median
70471
HCPCS 		Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 3 $3,600.00 $4,204.35 $4,095.00 nat. median
$410
outlier · 10.0×
73220
HCPCS 		MRI Scan Of Arm Before And After Contrast 3 $3,575.20 $4,175.39 $4,066.79 nat. median
$737
outlier · 5.5×
HB-360003580_1
CDM 		Operating Room Services - General Classification 3 $3,553.60 $4,150.16 $4,042.22 —
C8911
HCPCS 		Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 3 $3,520.00 $4,110.92 $4,004.00 nat. median
$828
outlier · 4.8×
74178
HCPCS 		CT Scan Of Abdomen And Pelvis Before And After Contrast 3 $3,446.40 $4,024.96 $3,920.28 nat. median
$539
outlier · 7.3×
73723
HCPCS 		MRI Scan Of Leg Joint Before And After Contrast 3 $3,366.40 $3,931.53 $3,829.28 nat. median
$756
outlier · 5.1×
10180
HCPCS 		Complex Drainage Of Wound Infection After Surgery 3 $249.00 $8,423.65 $3,751.57 nat. median
$2,882
1.3× median
72157
HCPCS 		MRI Scan Of Middle Spinal Canal Before And After Contrast 3 $3,284.80 $3,836.24 $3,736.46 nat. median
$624
outlier · 6.0×
72156
HCPCS 		MRI Scan Of Upper Spinal Canal Before And After Contrast 3 $3,280.00 $3,830.63 $3,731.00 nat. median
$625
outlier · 6.0×

Other procedures at this hospital

Browse this hospital's 3,297 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
             
J1162 HCPCS Injection, Digoxin Immune Fab (ovine), Per Vial 6 3 $17,218.83 $10,331.30 40% off $13,775.07 $16,087.56 $15,669.14 2026-07-22
J9312 HCPCS Rituximab 10 Mg/ml Concentrate 50 Ml Vial 1 1 $22,549.00 $13,529.40 40% off $12,063.72 $12,063.72 $12,063.72 2025-06-01
50590 HCPCS Shock Wave Crushing Of Kidney Stones 6 3 $12,527.00 $7,516.20 40% off $10,021.60 $11,703.98 $11,399.57 2026-07-22
15120 HCPCS Partial Thickness Self Skin Graft To Face, Scalp, Eyelids, Mouth, Neck, Ears, Ar… 6 3 $11,533.00 $6,919.80 40% off $9,226.40 $10,775.28 $10,495.03 2026-07-22
C1821 HCPCS Spacer Rise-l 18x50 8-15mm 6 Deg (193.324) 1 1 $19,200.00 $11,520.00 40% off $10,310.40 $10,310.40 $10,310.40 2025-06-01
HB-360003620_1 CDM Operating Room Services - General Classification 6 3 $8,568.00 $5,140.80 40% off $6,854.40 $8,005.08 $7,796.88 2026-07-22
C2621 HCPCS Pacemaker Allure Rf Crt-p Cell (pm3222) 1 1 $13,725.00 $8,235.00 40% off $7,370.32 $7,370.32 $7,370.32 2025-06-01
52356 CPT Hc Lithotripsy Facility With Cyst/Stent 1 1 $13,250.00 $7,950.00 40% off $7,115.25 $7,115.25 $7,115.25 2025-06-01
HB-360003600_1 CDM Operating Room Services - General Classification 6 3 $7,571.00 $4,542.60 40% off $6,056.80 $7,073.59 $6,889.61 2026-07-22
15274 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, Each… 12 3 $8,121.00 $4,872.60 40% off $4,379.20 $10,060.54 $6,864.38 2026-07-22
15273 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Trunk, Arms, Or Legs, 100.… 12 3 $8,121.00 $4,872.60 40% off $4,379.20 $10,060.54 $6,864.38 2026-07-22
50590 CPT Hc Lithotripsy 1 1 $11,930.00 $7,158.00 40% off $6,406.41 $6,406.41 $6,406.41 2025-06-01
52353 CPT Hc Cystourethroscopy W Lithotripsy 1 1 $11,560.00 $6,936.00 40% off $6,207.72 $6,207.72 $6,207.72 2025-06-01
C1785 HCPCS Pacemaker Gen Cb7 Advisa Dr MRI (cb7) 1 1 $11,160.00 $6,696.00 40% off $5,992.92 $5,992.92 $5,992.92 2025-06-01
52356 HCPCS Crushing Of Stone Of Ureter With Insertion Of Stent Using An Endoscope 12 3 $7,516.00 $4,509.60 40% off $402.18 $12,998.92 $5,866.87 2026-07-22
HB-360002330_1 CDM Operating Room Services - General Classification 6 3 $6,038.00 $3,622.80 40% off $4,830.40 $5,641.30 $5,494.58 2026-07-22
C1713 HCPCS Scr Ort Syn 2.7 Cortex S-t 16mm(202.816) 2 1 $9,767.46 $5,860.48 40% off $60.80 $10,429.45 $5,245.13 2025-06-01
G0465 HCPCS Autologous Platelet Rich Plasma (prp) Or Other Blood-derived Product For Diabeti… 6 3 $5,763.00 $3,457.80 40% off $4,610.40 $5,384.37 $5,244.33 2026-07-22
15100 HCPCS Partial Thickness Self Skin Graft To Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Bod… 6 3 $5,763.00 $3,457.80 40% off $4,610.40 $5,384.37 $5,244.33 2026-07-22
15002 HCPCS Preparation Of Skin Graft Site Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body A… 6 3 $5,763.00 $3,457.80 40% off $4,610.40 $5,384.37 $5,244.33 2026-07-22
15115 HCPCS Outer Layer Self Skin Graft Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Around E… 6 3 $5,763.00 $3,457.80 40% off $4,610.40 $5,384.37 $5,244.33 2026-07-22
15110 HCPCS Outer Layer Self Skin Graft Of Trunk, Arms, Or Legs, 100.0 Sq Cm Or 1% Body Area… 6 3 $5,763.00 $3,457.80 40% off $4,610.40 $5,384.37 $5,244.33 2026-07-22
52353 HCPCS Crushing Of Stone Of Ureter Using An Endoscope 12 3 $6,533.00 $3,919.80 40% off $378.38 $11,340.53 $5,139.20 2026-07-22
70549 HCPCS MRI Scan Of Blood Vessels Of Neck Before And After Contrast 6 3 $5,372.00 $3,223.20 40% off $4,297.60 $5,019.06 $4,888.52 2026-07-22
HB-360002320_1 CDM Operating Room Services - General Classification 6 3 $5,271.00 $3,162.60 40% off $4,216.80 $4,924.70 $4,796.61 2026-07-22
50688 HCPCS Change Of Tube Or Stent In Ureter 6 3 $5,145.00 $3,087.00 40% off $4,116.00 $4,806.97 $4,681.95 2026-07-22
20225 HCPCS Deep Biopsy Of Bone Using Needle Or Trocar 6 3 $5,104.00 $3,062.40 40% off $4,083.20 $4,768.67 $4,644.64 2026-07-22
20220 HCPCS Biopsy Of Bone Using Needle Or Trocar 6 3 $5,104.00 $3,062.40 40% off $4,083.20 $4,768.67 $4,644.64 2026-07-22
28001 HCPCS Drainage Of Fluid Filled Sac In Foot 6 3 $5,104.00 $3,062.40 40% off $4,083.20 $4,768.67 $4,644.64 2026-07-22
11047 HCPCS Removal Of Bone, Each Additional 20.0 Sq Cm Or Less 6 3 $5,104.00 $3,062.40 40% off $4,083.20 $4,768.67 $4,644.64 2026-07-22
11044 HCPCS Removal Of Bone, 20.0 Sq Cm Or Less 6 3 $5,104.00 $3,062.40 40% off $4,083.20 $4,768.67 $4,644.64 2026-07-22
28010 HCPCS Repair Of Toe Tendon 6 3 $5,042.00 $3,025.20 40% off $4,033.60 $4,710.74 $4,588.22 2026-07-22
HB-360002310_1 CDM Operating Room Services - General Classification 6 3 $4,862.00 $2,917.20 40% off $3,889.60 $4,542.57 $4,424.42 2026-07-22
70546 HCPCS MRI Scan Of Blood Vessels Of Head Before And After Contrast 6 3 $4,835.00 $2,901.00 40% off $3,868.00 $4,517.34 $4,399.85 2026-07-22
72197 HCPCS MRI Scan Of Pelvis Before And After Contrast 6 3 $4,793.00 $2,875.80 40% off $3,834.40 $4,478.10 $4,361.63 2026-07-22
70553 HCPCS MRI Scan Of Brain Before And After Contrast 6 3 $4,705.00 $2,823.00 40% off $3,764.00 $4,395.88 $4,281.55 2026-07-22
70543 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Before And After Contrast 6 3 $4,604.00 $2,762.40 40% off $3,683.20 $4,301.52 $4,189.64 2026-07-22
C1786 HCPCS Pacemaker Accolade Sr Sngl (l300) 1 1 $7,800.00 $4,680.00 40% off $4,188.60 $4,188.60 $4,188.60 2025-06-01
74183 HCPCS MRI Scan Of Abdomen Before And After Contrast 12 3 $4,668.00 $2,800.80 40% off $3,625.60 $4,488.38 $4,179.18 2026-07-22
73720 HCPCS MRI Scan Of Leg Before And After Contrast 6 3 $4,586.00 $2,751.60 40% off $3,668.80 $4,284.70 $4,173.26 2026-07-22
64633 HCPCS Destruction Of Upper Or Middle Spinal Facet Joint Nerves Using Imaging Guidance,… 18 3 $4,897.00 $2,938.20 40% off $256.84 $4,806.97 $4,116.00 2026-07-22
70471 HCPCS Computed Tomographic Angiography (cta), Head And Neck, With Contrast Material(s)… 6 3 $4,500.00 $2,700.00 40% off $3,600.00 $4,204.35 $4,095.00 2026-07-22
73220 HCPCS MRI Scan Of Arm Before And After Contrast 6 3 $4,469.00 $2,681.40 40% off $3,575.20 $4,175.39 $4,066.79 2026-07-22
HB-360003580_1 CDM Operating Room Services - General Classification 6 3 $4,442.00 $2,665.20 40% off $3,553.60 $4,150.16 $4,042.22 2026-07-22
C8911 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Chest… 6 3 $4,400.00 $2,640.00 40% off $3,520.00 $4,110.92 $4,004.00 2026-07-22
74178 HCPCS CT Scan Of Abdomen And Pelvis Before And After Contrast 6 3 $4,308.00 $2,584.80 40% off $3,446.40 $4,024.96 $3,920.28 2026-07-22
73723 HCPCS MRI Scan Of Leg Joint Before And After Contrast 6 3 $4,208.00 $2,524.80 40% off $3,366.40 $3,931.53 $3,829.28 2026-07-22
10180 HCPCS Complex Drainage Of Wound Infection After Surgery 12 3 $4,742.50 $2,845.50 40% off $249.00 $8,423.65 $3,751.57 2026-07-22
72157 HCPCS MRI Scan Of Middle Spinal Canal Before And After Contrast 6 3 $4,106.00 $2,463.60 40% off $3,284.80 $3,836.24 $3,736.46 2026-07-22
72156 HCPCS MRI Scan Of Upper Spinal Canal Before And After Contrast 6 3 $4,100.00 $2,460.00 40% off $3,280.00 $3,830.63 $3,731.00 2026-07-22
72158 HCPCS MRI Scan Of Lower Spinal Canal Before And After Contrast 6 3 $4,082.00 $2,449.20 40% off $3,265.60 $3,813.81 $3,714.62 2026-07-22
HB-750000013_1 CDM Gastro - Intestinal (gi) Services - General Classification 6 3 $3,990.00 $2,394.00 40% off $3,192.00 $3,727.86 $3,630.90 2026-07-22
73223 HCPCS MRI Scan Of Arm Joint Before And After Contrast 6 3 $3,875.00 $2,325.00 40% off $3,100.00 $3,620.41 $3,526.25 2026-07-22
74177 HCPCS CT Scan Of Abdomen And Pelvis With Contrast 6 3 $3,820.00 $2,292.00 40% off $3,056.00 $3,569.03 $3,476.20 2026-07-22
HB-360002300_1 CDM Operating Room Services - General Classification 6 3 $3,759.00 $2,255.40 40% off $3,007.20 $3,512.03 $3,420.69 2026-07-22
74174 HCPCS CT Scan Of Blood Vessels Of Abdomen And Pelvis With Contrast 6 3 $3,661.00 $2,196.60 40% off $2,928.80 $3,420.47 $3,331.51 2026-07-22
73218 HCPCS MRI Scan Of Arm Without Contrast 6 3 $3,592.00 $2,155.20 40% off $2,873.60 $3,356.01 $3,268.72 2026-07-22
70544 HCPCS MRI Scan Of Blood Vessels Of Head Without Contrast 6 3 $3,502.00 $2,101.20 40% off $2,801.60 $3,271.92 $3,186.82 2026-07-22
HB-750000022_1 CDM Gastro - Intestinal (gi) Services - General Classification 6 3 $3,486.00 $2,091.60 40% off $2,788.80 $3,256.97 $3,172.26 2026-07-22
15277 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 12 3 $3,679.50 $2,207.70 40% off $1,508.00 $5,114.36 $3,070.18 2026-07-22
15278 HCPCS Skin Substitute Graft To Wound 100.0 Sq Cm Or More Of Face, Scalp, Eyelids, Mout… 12 3 $3,679.50 $2,207.70 40% off $1,508.00 $5,114.36 $3,070.18 2026-07-22
15271 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, 25.0 Sq C… 12 3 $3,679.50 $2,207.70 40% off $1,508.00 $5,114.36 $3,070.18 2026-07-22
15275 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 12 3 $3,679.50 $2,207.70 40% off $1,508.00 $5,114.36 $3,070.18 2026-07-22
15276 HCPCS Application Of Skin Substitute Graft To Wound Of Face, Scalp, Eyelids, Mouth, Ne… 12 3 $3,679.50 $2,207.70 40% off $1,508.00 $5,114.36 $3,070.18 2026-07-22
15272 HCPCS Application Of Skin Substitute Graft To Wound Of Trunk, Arms, Or Legs, Each Addi… 12 3 $3,679.50 $2,207.70 40% off $1,508.00 $5,114.36 $3,070.18 2026-07-22
73721 HCPCS MRI Scan Of Leg Joint Without Contrast 12 3 $3,582.00 $2,149.20 40% off $2,329.60 $3,972.64 $3,061.14 2026-07-22
C1762 HCPCS Graft Bone Fiber Cortical 2.5x5cm (423302) 1 1 $5,700.00 $3,420.00 40% off $3,060.90 $3,060.90 $3,060.90 2025-06-01
71275 HCPCS CT Scan Of Blood Vessels Of Chest With Contrast 6 3 $3,357.00 $2,014.20 40% off $2,685.60 $3,136.45 $3,054.87 2026-07-22
72195 HCPCS MRI Scan Of Pelvis Without Contrast 6 3 $3,353.00 $2,011.80 40% off $2,682.40 $3,132.71 $3,051.23 2026-07-22
74181 HCPCS MRI Scan Of Abdomen Without Contrast 6 3 $3,273.00 $1,963.80 40% off $2,618.40 $3,057.96 $2,978.43 2026-07-22
27134 HCPCS Revision Of Thigh Bone And Hip Joint Prosthesis 6 3 $5,169.00 $3,101.40 40% off $1,869.32 $3,296.86 $2,967.17 2026-07-22
73719 HCPCS MRI Scan Of Leg With Contrast 6 3 $3,259.00 $1,955.40 40% off $2,607.20 $3,044.88 $2,965.69 2026-07-22
70549 CPT Hc MRA Neck Without And With Contrast 1 1 $5,372.00 $3,223.20 40% off $2,884.76 $2,884.76 $2,884.76 2025-06-01
70545 HCPCS MRI Scan Of Blood Vessels Of Head With Contrast 6 3 $3,116.00 $1,869.60 40% off $2,492.80 $2,911.28 $2,835.56 2026-07-22
C1783 HCPCS Stent Istent Trabecular Lt (gts100l) 1 1 $5,250.00 $3,150.00 40% off $2,819.25 $2,819.25 $2,819.25 2025-06-01
73718 HCPCS MRI Scan Of Leg Without Contrast 6 3 $3,083.00 $1,849.80 40% off $2,466.40 $2,880.45 $2,805.53 2026-07-22
70547 HCPCS MRI Scan Of Blood Vessels Of Neck Without Contrast 6 3 $3,047.00 $1,828.20 40% off $2,437.60 $2,846.81 $2,772.77 2026-07-22
74160 HCPCS CT Scan Of Abdomen With Contrast 6 3 $3,041.00 $1,824.60 40% off $2,432.80 $2,841.21 $2,767.31 2026-07-22
27487 HCPCS Revision Of Thigh And Lower Leg Bone Components Of Total Knee Joint Prosthesis 6 3 $4,859.00 $2,915.40 40% off $1,720.34 $3,061.74 $2,755.57 2026-07-22
HB-450000680_1 CDM Hc Thoracic Major Procedure 6 3 $3,014.00 $1,808.40 40% off $2,411.20 $2,815.98 $2,742.74 2026-07-22
HB-360003630_1 CDM Operating Room Services - General Classification 6 3 $3,003.00 $1,801.80 40% off $2,402.40 $2,805.70 $2,732.73 2026-07-22
81406 HCPCS Molecular Pathology Procedure Level 7 Genetic Analysis 6 3 $2,967.00 $1,780.20 40% off $2,373.60 $2,772.07 $2,699.97 2026-07-22
73221 HCPCS MRI Scan Of Arm Joint Without Contrast 6 3 $2,917.00 $1,750.20 40% off $2,333.60 $2,725.35 $2,654.47 2026-07-22
64633 CPT Hc Rfa Cer/Thor Single Lv 1 1 $4,900.00 $2,940.00 40% off $2,631.30 $2,631.30 $2,631.30 2025-06-01
50688 CPT Hc Ureterostomy Tube Stent Change 1 1 $4,900.00 $2,940.00 40% off $2,631.30 $2,631.30 $2,631.30 2025-06-01
73722 HCPCS MRI Scan Of Leg Joint With Contrast 6 3 $2,888.00 $1,732.80 40% off $2,310.40 $2,698.26 $2,628.08 2026-07-22
63272 CPT Pr Lam Exc Ispi Les Oth/thn Neo Idrl Lumbar 1 1 $4,889.00 $2,933.40 40% off $2,625.39 $2,625.39 $2,625.39 2025-06-01
22595 HCPCS Fusion Of First 2 Spine Bones Through Back Of Neck 6 3 $4,007.00 $2,404.20 40% off $1,527.05 $2,914.96 $2,623.46 2026-07-22
27487 CPT Pr Revj Tot Knee Arthrp Fem&entire Tibial Compone 1 1 $4,859.00 $2,915.40 40% off $2,609.28 $2,609.28 $2,609.28 2025-06-01
70546 CPT Hc MRA Head Without And With Contrast 1 1 $4,835.00 $2,901.00 40% off $2,596.39 $2,596.39 $2,596.39 2025-06-01
23472 CPT Pr Arthroplasty Glenohumeral Joint Total Shoulder 2 1 $4,805.00 $3,123.25 35% off $2,580.28 $2,580.28 $2,580.28 2025-06-01
72197 CPT Hc MRI Pelvis Without And With Contrast 2 1 $4,793.00 $3,115.45 35% off $2,573.84 $2,573.84 $2,573.84 2025-06-01
22612 HCPCS Fusion Of Spine In Lower Back 6 3 $3,945.00 $2,367.00 40% off $1,570.13 $2,853.90 $2,568.51 2026-07-22
HB-360003557_1 CDM Operating Room Services - General Classification 6 3 $2,793.00 $1,675.80 40% off $2,234.40 $2,609.50 $2,541.63 2026-07-22
C8902 HCPCS Magnetic Resonance Angiography Without Contrast Followed By With Contrast, Abdom… 7 4 $2,790.00 $1,674.00 40% off $1,498.23 $2,606.70 $2,538.90 2026-07-22
22633 HCPCS Fusion Of Spine In Lower Back With Partial Removal Of Spine Bone And Disc 6 3 $4,455.00 $2,673.00 40% off $1,806.07 $2,809.68 $2,528.71 2026-07-22
63015 HCPCS Partial Removal Of Spine Bone With Exploration And/or Release Of Upper Spinal Co… 6 3 $3,665.00 $2,199.00 40% off $1,495.00 $2,809.09 $2,528.18 2026-07-22
70553 CPT Hc MRI Brain With And Without Contrast 2 1 $4,705.00 $3,058.25 35% off $2,526.59 $2,526.59 $2,526.59 2025-06-01
22633 CPT Pr Arthrodesis Combined Tq 1ntrspc Lumbar 2 1 $4,678.00 $3,040.70 35% off $2,512.09 $2,512.09 $2,512.09 2025-06-01
72148 HCPCS MRI Scan Of Lower Spinal Canal Without Contrast 6 3 $2,756.00 $1,653.60 40% off $2,204.80 $2,574.93 $2,507.96 2026-07-22
74183 CPT Hc MRI Abdomen Without And With Contrast 2 1 $4,668.00 $3,041.00 35% off $2,433.68 $2,579.75 $2,506.72 2025-06-01
63081 CPT Pr Vertebral Corpectomy Ant Dcmprn Cervical 1 Seg 1 1 $4,657.00 $2,794.20 40% off $2,500.81 $2,500.81 $2,500.81 2025-06-01
22558 HCPCS Fusion Of Lower Spine Bone Through Abdomen With Partial Removal Of Disc 6 3 $3,808.00 $2,284.80 40% off $1,516.40 $2,768.82 $2,491.94 2026-07-22
22551 CPT Pr Arthrd Ant Interbody Decompress Cervical Belw C2 1 1 $4,639.00 $2,783.40 40% off $2,491.14 $2,491.14 $2,491.14 2025-06-01
70543 CPT Hc MRI Orbit Face Neck Without And With Contrast 2 1 $4,604.00 $2,992.60 35% off $2,472.35 $2,472.35 $2,472.35 2025-06-01
73720 CPT Hc MRI Lower Extemity Without And With Contrast 2 1 $4,586.00 $2,980.90 35% off $2,462.68 $2,462.68 $2,462.68 2025-06-01
63056 HCPCS Release Of Lower Spinal Cord And/or Nerves, Single Segment 6 3 $3,647.00 $2,188.20 40% off $1,488.05 $2,731.80 $2,458.62 2026-07-22
64624 CPT Hc Destruction With Neurolytic Of Genicular Nerve Branch, With Imaging 1 1 $4,561.00 $2,736.60 40% off $2,449.26 $2,449.26 $2,449.26 2025-06-01
70482 HCPCS CT Scan Of Cranial Cavity Before And After Contrast 6 3 $2,690.00 $1,614.00 40% off $2,152.00 $2,513.27 $2,447.90 2026-07-22
27130 CPT Pr Arthrp Acetblr/prox Fem Prostc Agrft/algrft 2 1 $4,491.00 $2,919.15 35% off $2,411.66 $2,411.66 $2,411.66 2025-06-01
27447 CPT Pr Arthrp Kne Condyle&platu Medial&lat Compartments 2 1 $4,486.00 $2,915.90 35% off $2,408.98 $2,408.98 $2,408.98 2025-06-01
73220 CPT Hc MRI Upper Extremity Without And With Contrast 2 1 $4,469.00 $2,904.85 35% off $2,399.86 $2,399.86 $2,399.86 2025-06-01
22551 HCPCS Fusion Of Upper Spine Bone With Removal Of Disc And Release Of Spinal Cord Or Ne… 6 3 $4,639.00 $2,783.40 40% off $1,699.36 $2,652.36 $2,387.12 2026-07-22
75635 HCPCS CT Scan Of Abdominal Aorta And Both Leg Arteries With Contrast 6 3 $2,621.00 $1,572.60 40% off $2,096.80 $2,448.80 $2,385.11 2026-07-22
27280 CPT Pr Arthrodesis Si Jt Opn W/obtaining B1 Grf Instrmj 1 1 $4,439.00 $2,663.40 40% off $2,383.74 $2,383.74 $2,383.74 2025-06-01
HB-360003610_1 CDM Operating Room Services - General Classification 6 3 $2,615.00 $1,569.00 40% off $2,092.00 $2,443.19 $2,379.65 2026-07-22
70492 HCPCS CT Scan Of Soft Tissue Of Neck Before And After Contrast 6 3 $2,610.00 $1,566.00 40% off $2,088.00 $2,438.52 $2,375.10 2026-07-22
74170 HCPCS CT Scan Of Abdomen Before And After Contrast 6 3 $2,598.00 $1,558.80 40% off $2,078.40 $2,427.31 $2,364.18 2026-07-22
70551 HCPCS MRI Scan Of Brain Without Contrast 6 3 $2,594.00 $1,556.40 40% off $2,075.20 $2,423.57 $2,360.54 2026-07-22
71270 HCPCS CT Scan Of Chest Before And After Contrast 6 3 $2,582.00 $1,549.20 40% off $2,065.60 $2,412.36 $2,349.62 2026-07-22
74178 CPT Hc CT Abdomen/Pelvis With And Without Contrast 2 1 $4,308.00 $2,800.20 35% off $2,313.39 $2,313.39 $2,313.39 2025-06-01
23474 HCPCS Revision Of Total Shoulder Repair, Total Shoulder 6 3 $4,175.00 $2,505.00 40% off $1,702.98 $2,565.14 $2,308.63 2026-07-22
HB-750000015_1 CDM Gastro - Intestinal (gi) Services - General Classification 6 3 $2,531.00 $1,518.60 40% off $2,024.80 $2,364.71 $2,303.21 2026-07-22
72130 HCPCS CT Scan Of Middle Spine Before And After Contrast 6 3 $2,510.00 $1,506.00 40% off $2,008.00 $2,345.09 $2,284.10 2026-07-22
70496 HCPCS CT Scan Of Blood Vessels Of Head With Contrast 6 3 $2,509.00 $1,505.40 40% off $2,007.20 $2,344.16 $2,283.19 2026-07-22
70498 HCPCS CT Scan Of Blood Vessels Of Neck With Contrast 6 3 $2,502.00 $1,501.20 40% off $2,001.60 $2,337.62 $2,276.82 2026-07-22
73723 CPT Hc MRI Lower Extremity Joint Without And With Contrast 2 1 $4,208.00 $2,735.20 35% off $2,259.70 $2,259.70 $2,259.70 2025-06-01
64635 HCPCS Destruction Of Lower Or Sacral Spinal Facet Joint Nerves Using Imaging Guidance,… 12 3 $2,880.50 $1,728.30 40% off $257.35 $4,806.97 $2,259.50 2026-07-22
C1763 HCPCS Graft Bone I-factor 2.5cc (700-025) 1 1 $4,200.00 $2,520.00 40% off $2,255.40 $2,255.40 $2,255.40 2025-06-01
72127 HCPCS CT Scan Of Upper Spine Before And After Contrast 6 3 $2,474.00 $1,484.40 40% off $1,979.20 $2,311.46 $2,251.34 2026-07-22
72146 HCPCS MRI Scan Of Middle Spinal Canal Without Contrast 6 3 $2,473.00 $1,483.80 40% off $1,978.40 $2,310.52 $2,250.43 2026-07-22
72141 HCPCS MRI Scan Of Upper Spinal Canal Without Contrast 6 3 $2,469.00 $1,481.40 40% off $1,975.20 $2,306.79 $2,246.79 2026-07-22
22600 HCPCS Fusion Of Spine In Neck By Posterior Approach 6 3 $3,200.00 $1,920.00 40% off $1,304.77 $2,494.73 $2,245.26 2026-07-22
22612 CPT Pr Arthrodesis Posterior/pstlat Tq 1ntrspc Lumbar 2 1 $4,142.00 $2,692.30 35% off $2,224.26 $2,224.26 $2,224.26 2025-06-01
74175 HCPCS CT Scan Of Blood Vessels Of Abdomen With Contrast 6 3 $2,426.00 $1,455.60 40% off $1,940.80 $2,266.61 $2,207.66 2026-07-22
72157 CPT Hc MRI Thoracic Spine Without And With Contrast 2 1 $4,106.00 $2,668.90 35% off $2,204.92 $2,204.92 $2,204.92 2025-06-01
72156 CPT Hc MRI Cervical Spine Without And With Contrast 2 1 $4,100.00 $2,665.00 35% off $2,201.70 $2,201.70 $2,201.70 2025-06-01
72158 CPT Hc MRI Lumbar Spine Without And With Contrast 2 1 $4,082.00 $2,653.30 35% off $2,192.03 $2,192.03 $2,192.03 2025-06-01
70540 HCPCS MRI Scan Of Bone Of Eye Socket, Face, And/or Neck Without Contrast 6 3 $2,400.00 $1,440.00 40% off $1,920.00 $2,242.32 $2,184.00 2026-07-22
72133 HCPCS CT Scan Of Lower Spine Before And After Contrast 6 3 $2,365.00 $1,419.00 40% off $1,892.00 $2,209.62 $2,152.15 2026-07-22
22214 HCPCS Incision Or Removal Of Lower Spine Bone Segment 6 3 $3,773.00 $2,263.80 40% off $1,505.50 $2,386.85 $2,148.17 2026-07-22
22558 CPT Pr Arthrd Ant Interbody Min Dsc Lumbar 2 1 $3,998.00 $2,598.70 35% off $2,146.93 $2,146.93 $2,146.93 2025-06-01
23473 HCPCS Revision Of Total Shoulder Repair 6 3 $3,553.00 $2,131.80 40% off $1,576.88 $2,380.22 $2,142.20 2026-07-22
63042 HCPCS Partial Removal Of Spine Bone With Re-exploration, Release Of Lower Spinal Cord … 6 3 $3,234.00 $1,940.40 40% off $1,288.50 $2,371.97 $2,134.77 2026-07-22
22214 CPT Pr Osteotomy Spine Pst/pstlat Appr 1 Vrt Sgm Lmbr 1 1 $3,962.00 $2,377.20 40% off $2,127.59 $2,127.59 $2,127.59 2025-06-01
10140 HCPCS Drainage Of Blood Or Fluid Accumulation 12 3 $2,710.00 $1,626.00 40% off $127.33 $4,768.67 $2,121.32 2026-07-22
27138 CPT Pr Revj Tot Hip Arthrp Fem Only W/wo Algrft 1 1 $3,932.00 $2,359.20 40% off $2,111.49 $2,111.49 $2,111.49 2025-06-01
HB-360002370_1 CDM Operating Room Services - General Classification 6 3 $2,310.00 $1,386.00 40% off $1,848.00 $2,158.23 $2,102.10 2026-07-22
74176 HCPCS CT Scan Of Abdomen And Pelvis Without Contrast 6 3 $2,310.00 $1,386.00 40% off $1,848.00 $2,158.23 $2,102.10 2026-07-22
70336 HCPCS MRI Scan Of Jaw Joint 6 3 $2,300.00 $1,380.00 40% off $1,840.00 $2,148.89 $2,093.00 2026-07-22
64624 HCPCS Destruction Of Nerve Branches Of Knee Using Imaging Guidance 12 3 $2,593.00 $1,555.80 40% off $198.23 $4,475.30 $2,092.89 2026-07-22
64490 HCPCS Injection Of Upper Or Middle Spine Facet Joint Using Imaging Guidance, Single Le… 18 3 $2,297.00 $1,378.20 40% off $140.09 $4,290.31 $2,090.27 2026-07-22
64483 HCPCS Injection Of Anesthetic And/or Steroid Drug Into Sacral Spine Nerve Root Using I… 18 3 $2,297.00 $1,378.20 40% off $148.05 $4,290.31 $2,090.27 2026-07-22
64493 HCPCS Injection Of Lower Or Sacral Spine Facet Joint Using Imaging Guidance, Single Le… 18 3 $2,297.00 $1,378.20 40% off $121.22 $4,290.31 $2,090.27 2026-07-22
63001 HCPCS Partial Removal Of Spine Bone With Exploration And/or Release Of Upper Spinal Co… 6 3 $3,211.00 $1,926.60 40% off $1,241.94 $2,321.31 $2,089.18 2026-07-22
27486 CPT Pr Revj Total Knee Arthrp W/wo Algrft 1 Component 1 1 $3,880.00 $2,328.00 40% off $2,083.56 $2,083.56 $2,083.56 2025-06-01
70481 HCPCS CT Scan Of Cranial Cavity With Contrast 6 3 $2,283.00 $1,369.80 40% off $1,826.40 $2,133.01 $2,077.53 2026-07-22
71260 HCPCS CT Scan Of Chest With Contrast 6 3 $2,276.00 $1,365.60 40% off $1,820.80 $2,126.47 $2,071.16 2026-07-22
74177 CPT Hc CT Abdomen/Pelvis With Contrast 2 1 $3,820.00 $2,483.00 35% off $2,051.34 $2,051.34 $2,051.34 2025-06-01
HB-360001590_1 CDM Operating Room Services - General Classification 6 3 $2,237.00 $1,342.20 40% off $1,789.60 $2,090.03 $2,035.67 2026-07-22
27130 HCPCS Replacement Of Thigh Bone And Hip Joint With Prosthesis 6 3 $4,491.00 $2,694.60 40% off $1,262.17 $2,259.61 $2,033.65 2026-07-22
27138 HCPCS Revision Of Thigh Bone Prosthesis 6 3 $3,745.00 $2,247.00 40% off $1,495.47 $2,259.34 $2,033.41 2026-07-22
27447 HCPCS Replacement Of Knee Joint, Both Sides Of Knee 6 3 $4,486.00 $2,691.60 40% off $1,260.58 $2,254.41 $2,028.97 2026-07-22
70491 HCPCS CT Scan Of Soft Tissue Of Neck With Contrast 6 3 $2,221.00 $1,332.60 40% off $1,776.80 $2,075.08 $2,021.11 2026-07-22
29827 CPT Pr Surgical Arthroscopy Shoulder W/rotator Cuff Rpr 2 1 $3,712.00 $2,412.80 35% off $1,993.35 $1,993.35 $1,993.35 2025-06-01
73223 CPT Hc MRI Upper Extemity Joint Without And With Contrast 2 1 $3,690.00 $2,398.50 35% off $1,981.53 $1,981.53 $1,981.53 2025-06-01
29848 CPT Hc Release Of Wrist Ligament Usin Edosc 1 1 $3,690.00 $2,214.00 40% off $1,981.53 $1,981.53 $1,981.53 2025-06-01
C8929 HCPCS Transthoracic Echocardiography With Contrast, Or Without Contrast Followed By Wi… 7 4 $2,174.00 $1,304.40 40% off $1,111.59 $2,031.17 $1,978.34 2026-07-22
74174 CPT Hc CT Angiography Abdomen/Pelvis (With And Without Contrast) 2 1 $3,661.00 $2,379.65 35% off $1,965.95 $1,965.95 $1,965.95 2025-06-01
29848 HCPCS Release Of Wrist Ligament Using An Endoscope 12 3 $2,631.00 $1,578.60 40% off $505.62 $3,620.41 $1,951.30 2026-07-22
72193 HCPCS CT Scan Of Pelvis With Contrast 6 3 $2,130.00 $1,278.00 40% off $1,704.00 $1,990.06 $1,938.30 2026-07-22
23472 HCPCS Prosthetic Repair Of Shoulder Joint, Total Shoulder 6 3 $4,805.00 $2,883.00 40% off $1,417.19 $2,148.94 $1,934.05 2026-07-22
J9202 HCPCS Goserelin Acetate Implant, Per 3.6 Mg 7 4 $2,123.00 $1,273.80 40% off $1,698.40 $3,407.41 $1,931.93 2026-07-22
73218 CPT Hc MRI Upper Extremity Without Contrast 2 1 $3,592.00 $2,334.80 35% off $1,928.90 $1,928.90 $1,928.90 2025-06-01
63030 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord Or Nerves And/or… 6 3 $2,477.00 $1,486.20 40% off $911.92 $2,126.73 $1,914.06 2026-07-22
29807 CPT Pr Surgical Arthroscopy Shoulder Repair Slap Lesion 1 1 $3,564.00 $2,138.40 40% off $1,913.87 $1,913.87 $1,913.87 2025-06-01
27280 HCPCS Fusion Of Sacroiliac Joint Between Spine And Pelvis With Bone Graft, Open Proced… 6 3 $4,439.00 $2,663.40 40% off $1,358.04 $2,121.34 $1,909.21 2026-07-22
63709 HCPCS Repair Of Cerebrospinal Fluid Leak With Partial Removal Of Vertebra 6 3 $2,735.00 $1,641.00 40% off $1,114.68 $2,109.58 $1,898.62 2026-07-22
27486 HCPCS Revision Of Component Of Total Knee Joint Prosthesis 6 3 $3,880.00 $2,328.00 40% off $1,379.62 $2,106.98 $1,896.28 2026-07-22
70544 CPT Hc MRA Head Without Contrast 2 1 $3,502.00 $2,276.30 35% off $1,880.58 $1,880.58 $1,880.58 2025-06-01
70470 HCPCS CT Scan Of Head Or Brain Before And After Contrast 6 3 $2,060.00 $1,236.00 40% off $1,648.00 $1,924.66 $1,874.60 2026-07-22
63047 HCPCS Partial Removal Of Spine Bone With Release Of Lower Spinal Cord And/or Nerves, 1… 6 3 $2,770.00 $1,662.00 40% off $1,104.66 $2,071.91 $1,864.72 2026-07-22
72126 HCPCS CT Scan Of Upper Spine With Contrast 6 3 $2,046.00 $1,227.60 40% off $1,636.80 $1,911.58 $1,861.86 2026-07-22
22849 CPT Pr Reinsertion Spinal Fixation Device 1 1 $3,428.00 $2,056.80 40% off $1,840.84 $1,840.84 $1,840.84 2025-06-01
22855 HCPCS Removal Of Stabilizing Device From Front Of Spine 6 3 $2,710.00 $1,626.00 40% off $1,104.81 $2,043.33 $1,839.00 2026-07-22
73701 HCPCS CT Scan Of Leg With Contrast Material 6 3 $2,020.00 $1,212.00 40% off $1,616.00 $1,887.29 $1,838.20 2026-07-22
72132 HCPCS CT Scan Of Lower Spine With Contrast 6 3 $2,010.00 $1,206.00 40% off $1,608.00 $1,877.94 $1,829.10 2026-07-22
72129 HCPCS CT Scan Of Middle Spine With Contrast 6 3 $2,000.00 $1,200.00 40% off $1,600.00 $1,868.60 $1,820.00 2026-07-22
73201 HCPCS CT Scan Of Arm With Contrast 6 3 $1,991.00 $1,194.60 40% off $1,592.80 $1,860.19 $1,811.81 2026-07-22
73200 HCPCS CT Scan Of Arm Without Contrast 6 3 $1,986.00 $1,191.60 40% off $1,588.80 $1,855.52 $1,807.26 2026-07-22
71275 CPT Hc CT Angiography Chest (With And Without Contrast) 2 1 $3,357.00 $2,182.05 35% off $1,802.71 $1,802.71 $1,802.71 2025-06-01
72195 CPT Hc MRI Pelvis Without Contrast 2 1 $3,353.00 $2,179.45 35% off $1,800.56 $1,800.56 $1,800.56 2025-06-01
28190 HCPCS Removal Of Foreign Body Of Foot Tissue, Accessed Beneath The Skin 9 3 $2,217.00 $1,330.20 40% off $189.77 $2,071.34 $1,773.60 2026-07-22
10080 HCPCS Simple Drainage Of Cyst Of Tailbone 9 3 $2,217.00 $1,330.20 40% off $115.92 $2,071.34 $1,773.60 2026-07-22
HB-361003780_1 CDM Operating Room Services - Minor Surgery 6 3 $1,932.00 $1,159.20 40% off $1,545.60 $1,805.07 $1,758.12 2026-07-22
74181 CPT Hc MRI Abdomen Without Contrast 2 1 $3,273.00 $2,127.45 35% off $1,757.60 $1,757.60 $1,757.60 2025-06-01
15004 HCPCS Preparation Of Skin Graft Site Of Face, Scalp, Eyelids, Mouth, Neck, Ears, Aroun… 6 3 $1,929.00 $1,157.40 40% off $1,543.20 $1,802.26 $1,755.39 2026-07-22
12020 HCPCS Simple Closure Of Surface Wound Reopening 6 3 $1,929.00 $1,157.40 40% off $1,543.20 $1,802.26 $1,755.39 2026-07-22
11043 HCPCS Removal Of Muscle And/or Tissue, 20.0 Sq Cm Or Less 6 3 $1,929.00 $1,157.40 40% off $1,543.20 $1,802.26 $1,755.39 2026-07-22
73719 CPT Hc MRI Lower Extremity With Contrast 1 1 $3,259.00 $1,955.40 40% off $1,750.09 $1,750.09 $1,750.09 2025-06-01
HB-360002360_1 CDM Operating Room Services - General Classification 6 3 $1,901.00 $1,140.60 40% off $1,520.80 $1,776.10 $1,729.91 2026-07-22
73202 HCPCS CT Scan Of Arm Before And After Contrast 6 3 $1,890.00 $1,134.00 40% off $1,512.00 $1,765.83 $1,719.90 2026-07-22
A2019 HCPCS Kerecis Omega3 Marigen Shield, Per Square Centimeter 6 3 $1,870.00 $1,122.00 40% off $1,496.00 $1,747.14 $1,701.70 2026-07-22
70480 HCPCS CT Scan Of Cranial Cavity Without Contrast 6 3 $1,868.00 $1,120.80 40% off $1,494.40 $1,745.27 $1,699.88 2026-07-22
72191 HCPCS CT Scan Of Blood Vessels Of Pelvis With Contrast 6 3 $1,850.00 $1,110.00 40% off $1,480.00 $1,728.46 $1,683.50 2026-07-22
C1776 HCPCS Component Tri Cr Fem Bd Lt Sz5 Stryker(5517-f-501) 2 1 $3,125.00 $1,875.00 40% off $698.10 $2,658.15 $1,678.12 2025-06-01
70545 CPT Hc MRA Head With Contrast 1 1 $3,116.00 $1,869.60 40% off $1,673.29 $1,673.29 $1,673.29 2025-06-01
66821 HCPCS Removal Of Recurring Cataract In Lens Capsule Using A Laser 6 3 $1,838.00 $1,102.80 40% off $1,470.40 $1,717.24 $1,672.58 2026-07-22
23470 CPT Pr Arthroplasty Glenohumrl Jt Hemiarthroplasty 1 1 $3,094.00 $1,856.40 40% off $1,661.48 $1,661.48 $1,661.48 2025-06-01
73718 CPT Hc MRI Lower Extremity Without Contrast 2 1 $3,083.00 $2,003.95 35% off $1,655.57 $1,655.57 $1,655.57 2025-06-01
71250 HCPCS CT Scan Of Chest Without Contrast 6 3 $1,816.00 $1,089.60 40% off $1,452.80 $1,696.69 $1,652.56 2026-07-22
73706 HCPCS CT Scan Of Blood Vessels Of Lower Leg With Contrast 6 3 $1,806.00 $1,083.60 40% off $1,444.80 $1,687.35 $1,643.46 2026-07-22
50544 HCPCS Repair Of Kidney Using An Endoscope 6 3 $2,855.00 $1,713.00 40% off $1,206.01 $1,823.26 $1,640.93 2026-07-22
70547 CPT Hc MRA Neck Without Contrast 2 1 $3,047.00 $1,980.55 35% off $1,636.24 $1,636.24 $1,636.24 2025-06-01
74160 CPT Hc CT Abdomen With Contrast 2 1 $3,041.00 $1,976.65 35% off $1,633.02 $1,633.02 $1,633.02 2025-06-01
70487 HCPCS CT Scan Of Face With Contrast 6 3 $1,790.00 $1,074.00 40% off $1,432.00 $1,672.40 $1,628.90 2026-07-22
73702 HCPCS CT Scan Of Leg Before And After Contrast 6 3 $1,775.00 $1,065.00 40% off $1,420.00 $1,658.38 $1,615.25 2026-07-22
64454 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Knee Nerve Branch Using Imagin… 18 3 $1,771.00 $1,062.60 40% off $108.80 $3,308.36 $1,611.61 2026-07-22
55866 HCPCS Surgical Removal Of Prostate And Surrounding Lymph Nodes Using An Endoscope 6 3 $2,854.00 $1,712.40 40% off $1,164.47 $1,787.93 $1,609.14 2026-07-22
50546 HCPCS Removal Of Kidney And Partial Removal Of Ureter Using An Endoscope 6 3 $2,795.00 $1,677.00 40% off $1,172.46 $1,783.51 $1,605.16 2026-07-22
V2788 HCPCS Lens Tfat00 Nontoric 10.5d Alcon (tfat00.105) 2 1 $2,985.00 $1,791.00 40% off $1,602.94 $1,602.94 $1,602.94 2025-06-01
81406 CPT Hc Mopath Procedure Level 7 1 1 $2,967.00 $1,780.20 40% off $1,593.28 $1,593.28 $1,593.28 2025-06-01
HB-360002350_1 CDM Operating Room Services - General Classification 6 3 $1,743.00 $1,045.80 40% off $1,394.40 $1,628.48 $1,586.13 2026-07-22
70488 HCPCS CT Scan Of Face Before And After Contrast 6 3 $1,743.00 $1,045.80 40% off $1,394.40 $1,628.48 $1,586.13 2026-07-22
47564 HCPCS Removal Of Gallbladder With Exploration Of Common Bile Duct Using An Endoscope 6 3 $2,598.00 $1,558.80 40% off $1,109.95 $1,754.26 $1,578.83 2026-07-22
72125 HCPCS CT Scan Of Upper Spine Without Contrast 6 3 $1,725.00 $1,035.00 40% off $1,380.00 $1,611.67 $1,569.75 2026-07-22
HB-750000018_1 CDM Gastro - Intestinal (gi) Services - General Classification 6 3 $1,722.00 $1,033.20 40% off $1,377.60 $1,608.86 $1,567.02 2026-07-22
73221 CPT Hc MRI Upper Extremity Joint Without Contrast 2 1 $2,917.00 $1,896.05 35% off $1,566.43 $1,566.43 $1,566.43 2025-06-01
73721 CPT Hc MRI Lower Extremity Joint Without Contrast 2 1 $2,912.00 $1,892.80 35% off $1,563.74 $1,563.74 $1,563.74 2025-06-01
63047 CPT Pr Lam Facetectomy & Foramotomy 1 Vrt Sgm Lumbar 1 1 $2,909.00 $1,745.40 40% off $1,562.13 $1,562.13 $1,562.13 2025-06-01
49441 HCPCS Insertion Of Small Bowel Tube Using Fluoroscopic Guidance With Contrast 6 3 $1,712.00 $1,027.20 40% off $1,369.60 $1,599.52 $1,557.92 2026-07-22
29888 HCPCS Repair Of Anterior Cruciate Ligament Of Knee Using An Endoscope 6 3 $3,415.00 $2,049.00 40% off $955.28 $1,729.62 $1,556.66 2026-07-22
11107 HCPCS Incision Biopsy, Each Additional Skin Growth 9 3 $1,929.00 $1,157.40 40% off $27.60 $1,802.26 $1,543.20 2026-07-22
11106 HCPCS Incision Biopsy, First Skin Growth 9 3 $1,929.00 $1,157.40 40% off $51.16 $1,802.26 $1,543.20 2026-07-22
73700 HCPCS CT Scan Of Leg Without Contrast 6 3 $1,695.00 $1,017.00 40% off $1,356.00 $1,583.64 $1,542.45 2026-07-22
72128 HCPCS CT Scan Of Middle Spine Without Contrast 6 3 $1,695.00 $1,017.00 40% off $1,356.00 $1,583.64 $1,542.45 2026-07-22
99285 HCPCS Emergency Department Visit With High Level Of Medical Decision Making 9 3 $1,926.00 $1,155.60 40% off $177.43 $1,799.46 $1,540.80 2026-07-22
72131 HCPCS CT Scan Of Lower Spine Without Contrast 6 3 $1,690.00 $1,014.00 40% off $1,352.00 $1,578.97 $1,537.90 2026-07-22
50760 HCPCS Removal And Reconnection Of Diseased Or Injured Portion Of Ureter 6 3 $2,678.00 $1,606.80 40% off $1,102.86 $1,697.40 $1,527.66 2026-07-22
C1781 HCPCS Osteoballast 45 X 11 (56800060) 1 1 $2,808.00 $1,684.80 40% off $1,507.89 $1,507.89 $1,507.89 2025-06-01
70460 HCPCS CT Scan Head Or Brain With Contrast 6 3 $1,650.00 $990.00 40% off $1,320.00 $1,541.60 $1,501.50 2026-07-22
50081 HCPCS Complex Surgical Treatment Of Kidney Stone With Imaging Guidance 6 3 $2,680.00 $1,608.00 40% off $1,093.61 $1,655.45 $1,489.91 2026-07-22
64635 CPT Hc Rfa Lumb/Sac Single Lv 2 1 $2,758.00 $1,685.60 39% off $330.79 $2,631.30 $1,481.05 2025-06-01
72148 CPT Hc MRI Lumbar Spine Without Contrast 2 1 $2,756.00 $1,791.40 35% off $1,479.97 $1,479.97 $1,479.97 2025-06-01
73722 CPT Hc MRI Lower Extremity Joint With Contrast 2 1 $2,750.00 $1,787.50 35% off $1,476.75 $1,476.75 $1,476.75 2025-06-01
93306 HCPCS Ultrasound Of Heart With Color-depicted Blood Flow, Rate, Direction And Valve Fu… 6 3 $1,617.00 $970.20 40% off $1,293.60 $1,510.76 $1,471.47 2026-07-22
64415 HCPCS Injection Of Anesthetic Agent And/or Steroid Into Arm Nerve Bundle (brachial Ple… 9 3 $1,836.00 $1,101.60 40% off $98.87 $1,715.37 $1,468.80 2026-07-22
HB-110000010_1 CDM Room & Board - Private (one Bed) - General Classification 6 3 $1,743.00 $1,045.80 40% off $1,394.40 $1,628.48 $1,464.12 2026-07-22
HB-120000010_1 CDM Room & Board - Semi-private (two Beds) - General Classification 6 3 $1,743.00 $1,045.80 40% off $1,394.40 $1,628.48 $1,464.12 2026-07-22
46604 HCPCS Dilation Of Anus Using An Endoscope 12 3 $1,625.00 $975.00 40% off $92.90 $2,756.19 $1,457.38 2026-07-22
29827 HCPCS Repair Of Shoulder Rotator Cuff Using An Endoscope 6 3 $3,712.00 $2,227.20 40% off $1,047.92 $1,613.50 $1,452.15 2026-07-22
HB-450000670_1 CDM Hc Thoracic Minor Procedure 6 3 $1,590.00 $954.00 40% off $1,272.00 $1,485.54 $1,446.90 2026-07-22
70482 CPT Hc CT Orbit/Ear/Fossa With And Without Contrast 2 1 $2,690.00 $1,748.50 35% off $1,444.53 $1,444.53 $1,444.53 2025-06-01
70490 HCPCS CT Scan Of Soft Tissue Of Neck Without Contrast 6 3 $1,573.00 $943.80 40% off $1,258.40 $1,469.65 $1,431.43 2026-07-22
70486 HCPCS CT Scan Of Face Without Contrast 6 3 $1,570.00 $942.00 40% off $1,256.00 $1,466.85 $1,428.70 2026-07-22
29807 HCPCS Repair Of Shoulder Socket Using An Endoscope 6 3 $3,564.00 $2,138.40 40% off $1,013.95 $1,573.20 $1,415.88 2026-07-22
57288 HCPCS Creation Of Sling Around Urethra In Female To Control Leakage 6 3 $1,780.00 $1,068.00 40% off $726.26 $1,571.52 $1,414.37 2026-07-22
75635 CPT Hc CT Angiography Abdominal Runoff 2 1 $2,621.00 $1,703.65 35% off $1,407.47 $1,407.47 $1,407.47 2025-06-01
55867 HCPCS Simple Surgical Subtotal Removal Of Prostate Using Laparoscope 6 3 $2,342.00 $1,405.20 40% off $1,022.22 $1,563.26 $1,406.93 2026-07-22
70492 CPT Hc CT Soft Tissue Neck With And Without Contrast 2 1 $2,610.00 $1,696.50 35% off $1,401.57 $1,401.57 $1,401.57 2025-06-01
74170 CPT Hc CT Abdomen With And Without Contrast 2 1 $2,598.00 $1,688.70 35% off $1,395.12 $1,395.12 $1,395.12 2025-06-01
74150 HCPCS CT Scan Of Abdomen Without Contrast 6 3 $1,532.00 $919.20 40% off $1,225.60 $1,431.35 $1,394.12 2026-07-22
71270 CPT Hc CT Thorax/Chest With And Without Contrast 2 1 $2,582.00 $1,678.30 35% off $1,386.54 $1,386.54 $1,386.54 2025-06-01
P9073 HCPCS Platelets, Pheresis, Pathogen-reduced, Each Unit 7 4 $1,518.00 $910.80 40% off $815.16 $1,418.27 $1,381.38 2026-07-22
50130 HCPCS Incision Of Renal Pelvis Of Kidney With Removal Of Kidney Stone 6 3 $2,390.00 $1,434.00 40% off $1,004.85 $1,530.70 $1,377.63 2026-07-22
99291 HCPCS Critical Care, First 30-74 Minutes 12 3 $1,928.50 $1,157.10 40% off $271.54 $2,776.74 $1,353.29 2026-07-22
72130 CPT Hc CT Spine Thoracic With And Without Contrast 1 1 $2,510.00 $1,506.00 40% off $1,347.87 $1,347.87 $1,347.87 2025-06-01
70496 CPT Hc CT Angiography Head/Brain (With And Without Contrast) 2 1 $2,509.00 $1,630.85 35% off $1,347.34 $1,347.34 $1,347.34 2025-06-01
72192 HCPCS CT Scan Of Pelvis Without Contrast 6 3 $1,480.00 $888.00 40% off $1,184.00 $1,382.76 $1,346.80 2026-07-22
70498 CPT Hc CT Angiography Neck (With And Without Contrast) 1 1 $2,502.00 $1,501.20 40% off $1,343.58 $1,343.58 $1,343.58 2025-06-01
22842 CPT Pr Posterior Segmental Instrumentation 3-6 Vrt Seg 2 1 $2,494.00 $1,621.10 35% off $1,339.28 $1,339.28 $1,339.28 2025-06-01
63030 CPT Pr Lamnotmy Incl W/dcmprsn Nrv Root 1 Intrspc Lumbr 1 1 $2,477.00 $1,486.20 40% off $1,330.15 $1,330.15 $1,330.15 2025-06-01
72127 CPT Hc CT Spine Cervical With And Without Contrast 1 1 $2,474.00 $1,484.40 40% off $1,328.54 $1,328.54 $1,328.54 2025-06-01
70551 CPT Hc MRI Brain Without Contrast 2 1 $2,470.00 $1,605.50 35% off $1,326.39 $1,326.39 $1,326.39 2025-06-01
74175 CPT Hc CT Angiography Abdomen (With And Without Contrast) 2 1 $2,426.00 $1,576.90 35% off $1,302.76 $1,302.76 $1,302.76 2025-06-01
27514 HCPCS Treatment Of Broken Side Of Lower End Of Thigh Bone 6 3 $2,670.00 $1,602.00 40% off $949.81 $1,446.24 $1,301.62 2026-07-22
64483 CPT Hc Pm Transf Nblmb/Sac Initial Bilateral 2 1 $2,365.50 $1,437.20 39% off $192.25 $2,348.30 $1,270.27 2025-06-01
72133 CPT Hc CT Spine Lumbar With And Without Contrast 2 1 $2,365.00 $1,537.25 35% off $1,270.01 $1,270.01 $1,270.01 2025-06-01
72146 CPT Hc MRI Thoracic Spine Without Contrast 2 1 $2,355.00 $1,530.75 35% off $1,264.63 $1,264.63 $1,264.63 2025-06-01
72141 CPT Hc MRI Cervical Spine Without Contrast 2 1 $2,351.00 $1,528.15 35% off $1,262.48 $1,262.48 $1,262.48 2025-06-01
93350 HCPCS Ultrasound Of Heart During Rest, Exercise And/or Drug-induced Stress With Report 6 3 $1,386.00 $831.60 40% off $1,108.80 $1,294.94 $1,261.26 2026-07-22
HB-360002340_1 CDM Operating Room Services - General Classification 6 3 $1,376.00 $825.60 40% off $1,100.80 $1,285.60 $1,252.16 2026-07-22
HB-750000014_1 CDM Gastro - Intestinal (gi) Services - General Classification 6 3 $1,376.00 $825.60 40% off $1,100.80 $1,285.60 $1,252.16 2026-07-22
HB-450000420_1 CDM Hc ER Burn Care Large >10% 6 3 $1,370.00 $822.00 40% off $1,096.00 $1,279.99 $1,246.70 2026-07-22
64479 CPT Hc Inj Tran Epid Cer/Thor 1 1 $2,300.00 $1,380.00 40% off $1,235.10 $1,235.10 $1,235.10 2025-06-01
70336 CPT Hc MRI Temporomandibular Joint 2 1 $2,300.00 $1,495.00 35% off $1,235.10 $1,235.10 $1,235.10 2025-06-01
25337 CPT Pr Rcnstj Stablj Dstl U/dstl Jt 2 Soft Tiss Stablj 1 1 $2,292.00 $1,375.20 40% off $1,230.81 $1,230.81 $1,230.81 2025-06-01
70481 CPT Hc CT Orbit/Ear/Fossa With Contrast 2 1 $2,283.00 $1,483.95 35% off $1,225.97 $1,225.97 $1,225.97 2025-06-01
71260 CPT Hc CT Thorax/Chest With Contrast 2 1 $2,276.00 $1,479.40 35% off $1,222.21 $1,222.21 $1,222.21 2025-06-01
27720 HCPCS Repair Of Nonhealed Broken Shin Bone 6 3 $2,818.00 $1,690.80 40% off $858.28 $1,340.81 $1,206.73 2026-07-22
70491 CPT Hc CT Soft Tissue Neck With Contrast 2 1 $2,221.00 $1,443.65 35% off $1,192.67 $1,192.67 $1,192.67 2025-06-01
22842 HCPCS Placement Of Stabilizing Device To Back, 3-6 Spine Bone Segments 6 3 $2,494.00 $1,496.40 40% off $760.20 $1,322.38 $1,190.14 2026-07-22
74176 CPT Hc CT Abdomen/Pelvis Without Contrast 2 1 $2,200.00 $1,430.00 35% off $1,181.40 $1,181.40 $1,181.40 2025-06-01
22846 HCPCS Placement Of Stabilizing Device To Front, 4-7 Spine Bone Segments 6 3 $1,895.00 $1,137.00 40% off $753.84 $1,309.39 $1,178.45 2026-07-22
22830 HCPCS Exploration Of Spine Fusion 6 3 $2,054.00 $1,232.40 40% off $819.64 $1,308.24 $1,177.42 2026-07-22
64510 CPT Hc Unilateral Ganglion Block 1 1 $2,187.00 $1,312.20 40% off $1,174.42 $1,174.42 $1,174.42 2025-06-01
64490 CPT Hc Pm Fac Nb Cer/Thor Sing Lv Unilateral 1 1 $2,187.00 $1,312.20 40% off $1,174.42 $1,174.42 $1,174.42 2025-06-01
22840 HCPCS Placement Of Stabilizing Device To Back Of 1 Spine Bone In Neck 6 3 $1,860.00 $1,116.00 40% off $749.76 $1,299.65 $1,169.69 2026-07-22
J2506 HCPCS Injection, Pegfilgrastim, Excludes Biosimilar, 0.5 Mg 7 4 $1,283.67 $770.20 40% off $1,026.93 $8,241.14 $1,168.14 2026-07-22
27438 HCPCS Repair Of Kneecap With Prosthesis 6 3 $2,074.00 $1,244.40 40% off $828.94 $1,292.23 $1,163.01 2026-07-22
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