Hospital

HILLS & DALES GENERAL HOSPITAL

Cass City, MI · CCN 231316 · Rates published

Your selected procedure

You selected 93350 (CPT)

Hchg Stress Echo W Doppler and Col

This hospital’s price: $1,051 across 8 payers · range $654-$1,121

Source: https://aspirerhs.org/wp-content/uploads/2024/07/381619577_hills-and-dales-general-hospital_standardcharges.csv · observed 2025-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

2,663 distinct procedures filed

8 distinct payers

25,920 rate rows

2025-01-01 last MRF observed · ⚠ 21 mo old

Data quality

25,812 of 25,920 rate rows are consumer-grade (99.6%)

108 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
percent-of-charges filed in the dollar field — excluded from medians	72
placeholder amount (≤ $0.02) — excluded from medians	36

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 21 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

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

Source MRF file	https://aspirerhs.org/wp-content/uploads/2024/07/381619577_hills-and-dales-general-hospital_standardcharges.csv
Found on page	https://aspirerhs.org/billing/
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-10-21
Content fingerprint	79c7d6690bed4ab8… · 5,481,401 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
23472 CPT	Hchg Total Shoulder Arthroplasty (Replacement), Including Reverse Shoulder	8	$21,577.36	$36,989.76	$34,677.90	nat. median $16,660 outlier · 2.1×
22515 CPT	Hchg Kyphoplasty, Lumbar, Each Additional Level	8	$21,189.84	$36,325.44	$34,055.10	nat. median $5,248 outlier · 6.5×
27138 CPT	Hchg Revision Total Hip Arthroplasty; Femoral Component Only, W Or W/Out Al	8	$19,999.28	$34,284.48	$32,141.70	nat. median $9,872 outlier · 3.3×
27487 CPT	Hchg Revision Total Knee Arthroplasty	8	$19,998.16	$34,282.56	$32,139.90	nat. median $11,926 outlier · 2.7×
23615 CPT	Hchg Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity	8	$15,238.16	$26,122.56	$24,489.90	nat. median $11,353 outlier · 2.2×
27447 CPT	Hchg Total Knee Arthroplasty (Replacement)	8	$15,238.16	$26,122.56	$24,489.90	nat. median $12,734 1.9× median
27130 CPT	Hchg Total Hip Arthroplasty (Replacement)	8	$15,238.16	$26,122.56	$24,489.90	nat. median $13,098 1.9× median
50543 CPT	Hchg Laparoscopy, Surgical Partial Nephrectomy	8	$11,918.48	$20,431.68	$19,154.70	nat. median $10,465 1.8× median
38571 CPT	Hchg Laparosocpy, Surgical; W/Bilateral Total Pelvic Lymphadenectomy	8	$11,918.48	$20,431.68	$19,154.70	nat. median $9,943 1.9× median
55866 CPT	Hchg Laparoscopy, Surgical Prostatectomy Include Robotic Assist When Perfor	8	$11,918.48	$20,431.68	$19,154.70	nat. median $10,499 1.8× median
C9740 HCPCS	Hgh Cystourethroscopy W/Insertion; 4 Or More	8	$10,666.32	$18,285.12	$17,142.30	nat. median $9,791 1.8× median
C9769 HCPCS	Hchg Cystourethroscopy, W Insertion Of Temproary Prostatic Implant	8	$10,666.32	$18,285.12	$17,142.30	nat. median $7,200 outlier · 2.4×
2306213 LOCAL	Hchg Interstim Ii Neurostimulator 3058	8	$10,408.72	$17,843.52	$16,728.30	nat. median $16,728 1.0× median
C1820 HCPCS	Hchg Neurostimulator Axonics	8	$10,206.00	$17,496.00	$16,402.50	nat. median $22,986 0.7× median
C1778 HCPCS	Hchg Lead Penta 3mm 60cm 3228	8	$9,793.84	$16,789.44	$15,740.10	nat. median $4,400 outlier · 3.6×
29807 CPT	Hchg Repair Of Slap Lesion	8	$8,282.96	$14,199.36	$13,311.90	nat. median $7,098 1.9× median
29862 CPT	Hchg Hip Arthroscopy With Debridement (Chondroplasty, Arthroplasty, Etc.)	8	$8,282.96	$14,199.36	$13,311.90	nat. median $7,287 1.8× median
23412 CPT	Hchg Open Rotator Cuff Repair	8	$8,282.96	$14,199.36	$13,311.90	nat. median $6,943 1.9× median
22514 CPT	Hchg Kyphoplasty, Lumbar, 1 Level	8	$8,282.96	$14,199.36	$13,311.90	nat. median $8,406 1.6× median
29888 CPT	Hchg Arthroscopic Anterior Cruciate Ligament (Acl) Reconstruction	8	$8,282.96	$14,199.36	$13,311.90	nat. median $7,341 1.8× median
29806 CPT	Hchg Surgical Arthroscopy Shoulder Capsulorrhaphy	8	$8,282.96	$14,199.36	$13,311.90	nat. median $7,171 1.9× median
C9739 HCPCS	Hchg Cystourethroscopy W/Insertion Implant 1-3	8	$5,990.88	$10,270.08	$9,628.20	nat. median $5,710 1.7× median
95783 CPT	Hchg Polysom W/Cpap Titration 5yrs And Under	8	$5,024.88	$8,614.08	$8,075.70	nat. median $1,677 outlier · 4.8×
52344 CPT	Hchg Cystourethrosocpy W/Ureteroscopy, Wtmt Of Uretal Structure	8	$4,036.48	$6,919.68	$6,487.20	nat. median $3,626 1.8× median
52332 CPT	Hchg Cystourethroscopy W/Insertion Of Indwelling Ureteral Stent	8	$4,036.48	$6,919.68	$6,487.20	nat. median $3,667 1.8× median
2308299 LOCAL	Hchg Amnioeffect 6x8	8	$4,019.12	$6,889.92	$6,459.30	nat. median $6,459 1.0× median
2306212 LOCAL	Hchg Interstim Surescan MRI Lead Kit 987b28	8	$4,010.72	$6,875.52	$6,445.80	nat. median $6,446 1.0× median
2307843 LOCAL	Hchg Or Level 6 1st 30 Min	8	$3,897.60	$6,681.60	$6,264.00	nat. median $6,264 1.0× median
26951 CPT	Amputation, Finger/thumb, Primary Or Secondary, Any Joint Single	8	$3,747.52	$6,424.32	$6,022.80	nat. median $3,320 1.8× median
29823 CPT	Hchg Debridement, Extensive (3 Or More Structures)	8	$3,747.52	$6,424.32	$6,022.80	nat. median $3,950 1.5× median
29824 CPT	Hchg Distal Clavicle Resection/Claviculectomy (Mumford)	8	$3,747.52	$6,424.32	$6,022.80	nat. median $3,674 1.6× median
29876 CPT	Hchg Arthroscopy Knee Synovectom 2>Compartments	8	$3,747.52	$6,424.32	$6,022.80	nat. median $3,729 1.6× median
29880 CPT	Hchg Knee Arthroscopy With Medial And Lateral Meniscus Repair	8	$3,747.52	$6,424.32	$6,022.80	nat. median $3,840 1.6× median
29881 CPT	Hchg Knee Arthroscopy With Medial Or Lateral Meniscus Repair	8	$3,747.52	$6,424.32	$6,022.80	nat. median $3,830 1.6× median
81229 CPT	Hchg Chromosomal Microarray, Blood	8	$3,735.20	$6,403.20	$6,003.00	nat. median $1,322 outlier · 4.5×
36556 CPT	Hchg Non Tun Central Ven Cath >5 Years	8	$3,690.40	$6,326.40	$5,931.00	nat. median $2,483 outlier · 2.4×
59409 CPT	Emergency Vaginal Delivery	8	$3,619.84	$6,205.44	$5,817.60	nat. median $3,153 1.8× median
29826 CPT	Hchg Subacromial Decompression	8	$3,427.76	$5,876.16	$5,508.90	nat. median $3,079 1.8× median
38222 CPT	Hc Biopsy(Ies) & Aspiration(S) Bone Marrow Diagnostic Lt	8	$3,290.00	$5,640.00	$5,287.50	nat. median $2,809 1.9× median
10180 CPT	Hchg I&d Abscess Complex Buttock Post Op	8	$3,290.00	$5,640.00	$5,287.50	nat. median $2,863 1.8× median
2303069 OTHER	Hchg Covid-19 Rapid Naat (in House)	8	$3,290.00	$5,640.00	$5,287.50	nat. median $5,288 1.0× median
78831 CPT	Hchg Nm Tumor/Abscess W/Spect Whole Body	8	$3,145.52	$5,392.32	$5,055.30	nat. median $1,670 outlier · 3.0×
2306120 LOCAL	Hchg Spaceoar Kit So-2101	8	$3,102.96	$5,319.36	$4,986.90	nat. median $4,987 1.0× median
95811 CPT	Polysomn & Cpap Initiation/Mgmt	8	$2,949.52	$5,056.32	$4,740.30	nat. median $1,894 outlier · 2.5×
2307868 LOCAL	Hchg Tined Lead Kit	8	$2,940.00	$5,040.00	$4,725.00	nat. median $4,725 1.0× median
88120 CPT	Hchg Urovysion Fish 88120	8	$2,903.04	$4,976.64	$4,665.60	nat. median $351 outlier · 13.3×
81503 CPT	Hchg Ova1	8	$2,888.48	$4,951.68	$4,642.20	nat. median $924 outlier · 5.0×
71552 CPT	MRI Chest Without W/Contrast	8	$2,867.76	$4,916.16	$4,608.90	nat. median $1,097 outlier · 4.2×
95810 CPT	Polysomnogram-nocturnal(sas)	8	$2,818.48	$4,831.68	$4,529.70	nat. median $1,825 outlier · 2.5×
2307955 LOCAL	Hchg Surgimesh Xb 22x26cm	8	$2,814.00	$4,824.00	$4,522.50	nat. median $4,522 1.0× median

Other procedures at this hospital

Browse this hospital's 2,663 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

23472	CPT	Hchg Total Shoulder Arthroplasty (Replacement), Including Reverse Shoulder	9	8	$38,531.00	$8,862.13 77% off	$21,577.36	$36,989.76	$34,677.90	2025-01-01
22515	CPT	Hchg Kyphoplasty, Lumbar, Each Additional Level	9	8	$37,839.00	$8,702.97 77% off	$21,189.84	$36,325.44	$34,055.10	2025-01-01
27138	CPT	Hchg Revision Total Hip Arthroplasty; Femoral Component Only, W Or W/Out Al	9	8	$35,713.00	$8,213.99 77% off	$19,999.28	$34,284.48	$32,141.70	2025-01-01
27487	CPT	Hchg Revision Total Knee Arthroplasty	9	8	$35,711.00	$8,213.53 77% off	$19,998.16	$34,282.56	$32,139.90	2025-01-01
23615	CPT	Hchg Optx Prox Humeral Fx W/Int Fixj Rpr Tuberosity	9	8	$27,211.00	$6,258.53 77% off	$15,238.16	$26,122.56	$24,489.90	2025-01-01
27447	CPT	Hchg Total Knee Arthroplasty (Replacement)	9	8	$27,211.00	$6,258.53 77% off	$15,238.16	$26,122.56	$24,489.90	2025-01-01
27130	CPT	Hchg Total Hip Arthroplasty (Replacement)	9	8	$27,211.00	$6,258.53 77% off	$15,238.16	$26,122.56	$24,489.90	2025-01-01
55866	CPT	Hchg Laparoscopy, Surgical Prostatectomy Include Robotic Assist When Perfor	9	8	$21,283.00	$4,895.09 77% off	$11,918.48	$20,431.68	$19,154.70	2025-01-01
38571	CPT	Hchg Laparosocpy, Surgical; W/Bilateral Total Pelvic Lymphadenectomy	9	8	$21,283.00	$4,895.09 77% off	$11,918.48	$20,431.68	$19,154.70	2025-01-01
50543	CPT	Hchg Laparoscopy, Surgical Partial Nephrectomy	9	8	$21,283.00	$4,895.09 77% off	$11,918.48	$20,431.68	$19,154.70	2025-01-01
C9740	HCPCS	Hgh Cystourethroscopy W/Insertion; 4 Or More	9	8	$19,047.00	$4,380.81 77% off	$10,666.32	$18,285.12	$17,142.30	2025-01-01
C9769	HCPCS	Hchg Cystourethroscopy, W Insertion Of Temproary Prostatic Implant	9	8	$19,047.00	$4,380.81 77% off	$10,666.32	$18,285.12	$17,142.30	2025-01-01
2306213	LOCAL	Hchg Interstim Ii Neurostimulator 3058	9	8	$18,587.00	$4,275.01 77% off	$10,408.72	$17,843.52	$16,728.30	2025-01-01
C1820	HCPCS	Hchg Neurostimulator Axonics	9	8	$18,225.00	$4,191.75 77% off	$10,206.00	$17,496.00	$16,402.50	2025-01-01
C1778	HCPCS	Hchg Lead Penta 3mm 60cm 3228	9	8	$17,489.00	$4,022.47 77% off	$9,793.84	$16,789.44	$15,740.10	2025-01-01
29888	CPT	Hchg Arthroscopic Anterior Cruciate Ligament (Acl) Reconstruction	9	8	$14,791.00	$3,401.93 77% off	$8,282.96	$14,199.36	$13,311.90	2025-01-01
23412	CPT	Hchg Open Rotator Cuff Repair	9	8	$14,791.00	$3,401.93 77% off	$8,282.96	$14,199.36	$13,311.90	2025-01-01
22514	CPT	Hchg Kyphoplasty, Lumbar, 1 Level	9	8	$14,791.00	$3,401.93 77% off	$8,282.96	$14,199.36	$13,311.90	2025-01-01
29862	CPT	Hchg Hip Arthroscopy With Debridement (Chondroplasty, Arthroplasty, Etc.)	9	8	$14,791.00	$3,401.93 77% off	$8,282.96	$14,199.36	$13,311.90	2025-01-01
29807	CPT	Hchg Repair Of Slap Lesion	9	8	$14,791.00	$3,401.93 77% off	$8,282.96	$14,199.36	$13,311.90	2025-01-01
29806	CPT	Hchg Surgical Arthroscopy Shoulder Capsulorrhaphy	9	8	$14,791.00	$3,401.93 77% off	$8,282.96	$14,199.36	$13,311.90	2025-01-01
C9739	HCPCS	Hchg Cystourethroscopy W/Insertion Implant 1-3	9	8	$10,698.00	$2,460.54 77% off	$5,990.88	$10,270.08	$9,628.20	2025-01-01
95783	CPT	Hchg Polysom W/Cpap Titration 5yrs And Under	9	8	$8,973.00	$2,063.79 77% off	$5,024.88	$8,614.08	$8,075.70	2025-01-01
52332	CPT	Hchg Cystourethroscopy W/Insertion Of Indwelling Ureteral Stent	9	8	$7,208.00	$1,657.84 77% off	$4,036.48	$6,919.68	$6,487.20	2025-01-01
52344	CPT	Hchg Cystourethrosocpy W/Ureteroscopy, Wtmt Of Uretal Structure	9	8	$7,208.00	$1,657.84 77% off	$4,036.48	$6,919.68	$6,487.20	2025-01-01
2308299	LOCAL	Hchg Amnioeffect 6x8	9	8	$7,177.00	$1,650.71 77% off	$4,019.12	$6,889.92	$6,459.30	2025-01-01
2306212	LOCAL	Hchg Interstim Surescan MRI Lead Kit 987b28	9	8	$7,162.00	$1,647.26 77% off	$4,010.72	$6,875.52	$6,445.80	2025-01-01
2307843	LOCAL	Hchg Or Level 6 1st 30 Min	9	8	$6,960.00	$1,600.80 77% off	$3,897.60	$6,681.60	$6,264.00	2025-01-01
29880	CPT	Hchg Knee Arthroscopy With Medial And Lateral Meniscus Repair	9	8	$6,692.00	$1,539.16 77% off	$3,747.52	$6,424.32	$6,022.80	2025-01-01
26951	CPT	Amputation, Finger/thumb, Primary Or Secondary, Any Joint Single	9	8	$6,692.00	$1,539.16 77% off	$3,747.52	$6,424.32	$6,022.80	2025-01-01
29824	CPT	Hchg Distal Clavicle Resection/Claviculectomy (Mumford)	9	8	$6,692.00	$1,539.16 77% off	$3,747.52	$6,424.32	$6,022.80	2025-01-01
29823	CPT	Hchg Debridement, Extensive (3 Or More Structures)	9	8	$6,692.00	$1,539.16 77% off	$3,747.52	$6,424.32	$6,022.80	2025-01-01
29881	CPT	Hchg Knee Arthroscopy With Medial Or Lateral Meniscus Repair	9	8	$6,692.00	$1,539.16 77% off	$3,747.52	$6,424.32	$6,022.80	2025-01-01
29876	CPT	Hchg Arthroscopy Knee Synovectom 2>Compartments	9	8	$6,692.00	$1,539.16 77% off	$3,747.52	$6,424.32	$6,022.80	2025-01-01
81229	CPT	Hchg Chromosomal Microarray, Blood	9	8	$6,670.00	$1,534.10 77% off	$3,735.20	$6,403.20	$6,003.00	2025-01-01
36556	CPT	Hchg Non Tun Central Ven Cath >5 Years	9	8	$6,590.00	$1,515.70 77% off	$3,690.40	$6,326.40	$5,931.00	2025-01-01
59409	CPT	Emergency Vaginal Delivery	9	8	$6,464.00	$1,486.72 77% off	$3,619.84	$6,205.44	$5,817.60	2025-01-01
29826	CPT	Hchg Subacromial Decompression	9	8	$6,121.00	$1,407.83 77% off	$3,427.76	$5,876.16	$5,508.90	2025-01-01
38222	CPT	Hc Biopsy(Ies) & Aspiration(S) Bone Marrow Diagnostic Lt	9	8	$5,875.00	$1,351.25 77% off	$3,290.00	$5,640.00	$5,287.50	2025-01-01
2303069	OTHER	Hchg Covid-19 Rapid Naat (in House)	9	8	$5,875.00	$1,351.25 77% off	$3,290.00	$5,640.00	$5,287.50	2025-01-01
10180	CPT	Hchg I&d Abscess Complex Buttock Post Op	9	8	$5,875.00	$1,351.25 77% off	$3,290.00	$5,640.00	$5,287.50	2025-01-01
78831	CPT	Hchg Nm Tumor/Abscess W/Spect Whole Body	9	8	$5,617.00	$1,291.91 77% off	$3,145.52	$5,392.32	$5,055.30	2025-01-01
2306120	LOCAL	Hchg Spaceoar Kit So-2101	9	8	$5,541.00	$1,274.43 77% off	$3,102.96	$5,319.36	$4,986.90	2025-01-01
95811	CPT	Polysomn & Cpap Initiation/Mgmt	9	8	$5,267.00	$1,211.41 77% off	$2,949.52	$5,056.32	$4,740.30	2025-01-01
2307868	LOCAL	Hchg Tined Lead Kit	9	8	$5,250.00	$1,207.50 77% off	$2,940.00	$5,040.00	$4,725.00	2025-01-01
88120	CPT	Hchg Urovysion Fish 88120	9	8	$5,184.00	$1,192.32 77% off	$2,903.04	$4,976.64	$4,665.60	2025-01-01
81503	CPT	Hchg Ova1	9	8	$5,158.00	$1,186.34 77% off	$2,888.48	$4,951.68	$4,642.20	2025-01-01
71552	CPT	MRI Chest Without W/Contrast	9	8	$5,121.00	$1,177.83 77% off	$2,867.76	$4,916.16	$4,608.90	2025-01-01
95810	CPT	Polysomnogram-nocturnal(sas)	9	8	$5,033.00	$1,157.59 77% off	$2,818.48	$4,831.68	$4,529.70	2025-01-01
2307955	LOCAL	Hchg Surgimesh Xb 22x26cm	9	8	$5,025.00	$1,155.75 77% off	$2,814.00	$4,824.00	$4,522.50	2025-01-01
2308730	LOCAL	Trauma � No Prenotice	9	8	$5,000.00	$1,150.00 77% off	$2,800.00	$4,800.00	$4,500.00	2025-01-01
2300895	LOCAL	Hchg Hdgh Full Trauma Team (Level 1)	9	8	$5,000.00	$1,150.00 77% off	$2,800.00	$4,800.00	$4,500.00	2025-01-01
C1747	HCPCS	Hchg Disposable Endoscope Cvac System	9	8	$4,950.00	$1,138.50 77% off	$2,772.00	$4,752.00	$4,455.00	2025-01-01
67715	CPT	Hchg Canthotomy Incision Of Eyelid Fold	9	8	$4,831.00	$1,111.13 77% off	$2,705.36	$4,637.76	$4,347.90	2025-01-01
2307105	LOCAL	Hchg Mirena 52mg	9	8	$4,830.00	$1,110.90 77% off	$2,704.80	$4,636.80	$4,347.00	2025-01-01
2307841	LOCAL	Hchg Or Level 5 1st 30 Min	9	8	$4,640.00	$1,067.20 77% off	$2,598.40	$4,454.40	$4,176.00	2025-01-01
73220	CPT	Hchg MRI Extre Up Without Joint Without W/Con Bilateral	18	8	$5,417.00	$1,245.91 77% off	$2,427.04	$6,240.00	$4,138.97	2025-01-01
2307880	LOCAL	Hchg Robot	9	8	$4,335.00	$997.05 77% off	$2,427.60	$4,161.60	$3,901.50	2025-01-01
813341	LOCAL	Hchg Xi Prograsp Forcep	9	8	$4,253.00	$978.19 77% off	$2,381.68	$4,082.88	$3,827.70	2025-01-01
75635	CPT	CTA Abd Aorta W/Fem Without W/Contrast	9	8	$4,194.00	$964.62 77% off	$2,348.64	$4,026.24	$3,774.60	2025-01-01
813340	LOCAL	Hchg Xi Large Needle Driver	9	8	$4,017.00	$923.91 77% off	$2,249.52	$3,856.32	$3,615.30	2025-01-01
73223	CPT	MRI Extre Up Jt Only Without W/Cont Lt	9	8	$4,014.00	$923.22 77% off	$2,247.84	$3,853.44	$3,612.60	2025-01-01
73723	CPT	MRI Extre Low Jt Only Without W/Cont Lt	9	8	$3,996.00	$919.08 77% off	$2,237.76	$3,836.16	$3,596.40	2025-01-01
64635	CPT	Hchg Medial Branch Rfa (Radiofrequency Ablation), Lumbar Or Sacral	9	8	$3,992.00	$918.16 77% off	$2,235.52	$3,832.32	$3,592.80	2025-01-01
64625	CPT	Hchg Sacroiliac Joint Rfa (Radiofrequency Ablation)	9	8	$3,992.00	$918.16 77% off	$2,235.52	$3,832.32	$3,592.80	2025-01-01
64633	CPT	Hchg Medial Branch Rfa (Radiofrequency Ablation), Cervical Or Thoracic	9	8	$3,992.00	$918.16 77% off	$2,235.52	$3,832.32	$3,592.80	2025-01-01
2307802	LOCAL	Hchg Stravix Pl 3 Cm X 6 Cm	9	8	$3,984.00	$916.32 77% off	$2,231.04	$3,824.64	$3,585.60	2025-01-01
95819	CPT	EEG Awake & Asleep	9	8	$3,953.00	$909.19 77% off	$2,213.68	$3,794.88	$3,557.70	2025-01-01
2301070	LOCAL	Hdgh Mesh 6x10 Ventralight	9	8	$3,927.00	$903.21 77% off	$2,199.12	$3,769.92	$3,534.30	2025-01-01
C1889	HCPCS	Hchg 30fr X 5cm Optilume Dcb And Inflation Device	36	8	$4,313.00	$991.99 77% off	$882.00	$8,496.00	$3,518.42	2025-01-01
2307950	LOCAL	Hchg Ventrio Hernia Patch 22.1x27.1 Cm	9	8	$3,897.00	$896.31 77% off	$2,182.32	$3,741.12	$3,507.30	2025-01-01
74174	CPT	Hchg CTA Abdomen Pelvis With Without Contrast	9	8	$3,888.00	$894.24 77% off	$2,177.28	$3,732.48	$3,499.20	2025-01-01
71550	CPT	MRI Chest Without Contrast	9	8	$3,771.00	$867.33 77% off	$2,111.76	$3,620.16	$3,393.90	2025-01-01
15275	CPT	Hchg Sub Grft F/s/n/h/f/g/m/d <100sq Cm 1st 25 Sq Cm	9	8	$3,770.00	$867.10 77% off	$2,111.20	$3,619.20	$3,393.00	2025-01-01
15271	CPT	Hchg App Skn Sub Grft T/a/L Area/100sq Cm /<1st 25	9	8	$3,770.00	$867.10 77% off	$2,111.20	$3,619.20	$3,393.00	2025-01-01
A4455	HCPCS	Hchg Cementless Metal Black Glenoid Base	9	8	$3,750.00	$862.50 77% off	$2,100.00	$3,600.00	$3,375.00	2025-01-01
95805	CPT	Polysomnogram-sleep Latency (Mslt)	9	8	$3,722.00	$856.06 77% off	$2,084.32	$3,573.12	$3,349.80	2025-01-01
78075	CPT	Nm Adrenal Imaging	9	8	$3,673.00	$844.79 77% off	$2,056.88	$3,526.08	$3,305.70	2025-01-01
70549	CPT	MRA Neck Without W/Contrast	9	8	$3,663.00	$842.49 77% off	$2,051.28	$3,516.48	$3,296.70	2025-01-01
70546	CPT	MRA Head Without W/Contrast	9	8	$3,645.00	$838.35 77% off	$2,041.20	$3,499.20	$3,280.50	2025-01-01
74185	CPT	MRA Abdomen W/wo Contrast	9	8	$3,551.00	$816.73 77% off	$1,988.56	$3,408.96	$3,195.90	2025-01-01
78452	CPT	Hchg Nm Myocardial Rest/Spect	9	8	$3,551.00	$816.73 77% off	$1,988.56	$3,408.96	$3,195.90	2025-01-01
78227	CPT	Hchg Nm Hepatobiliary W Kinevac	9	8	$3,531.00	$812.13 77% off	$1,977.36	$3,389.76	$3,177.90	2025-01-01
2300896	LOCAL	Hchg Hdgh Partial Trauma Team (Level 2)	9	8	$3,500.00	$805.00 77% off	$1,960.00	$3,360.00	$3,150.00	2025-01-01
52441	CPT	Hgh Cysto Insertion Transprostatic Implant, Single	9	8	$3,463.00	$796.49 77% off	$1,939.28	$3,324.48	$3,116.70	2025-01-01
36573	CPT	Hchg Picc Insertion W/Imaging Guidance >5yrs	18	8	$3,935.50	$905.16 77% off	$1,854.16	$4,377.60	$3,112.34	2025-01-01
74178	CPT	Hchg CT Abd W/wo & Pelvis W/Contrast	9	8	$3,452.00	$793.96 77% off	$1,933.12	$3,313.92	$3,106.80	2025-01-01
802365	LOCAL	Probe Novasure Bipolar Uterine	9	8	$3,443.00	$791.89 77% off	$1,928.08	$3,305.28	$3,098.70	2025-01-01
36569	CPT	Hchg Picc Insertion >5 Years Age	18	8	$3,565.50	$820.07 77% off	$1,854.16	$3,667.20	$3,079.23	2025-01-01
2307839	LOCAL	Hchg Or Level 4 1st 30 Min	9	8	$3,380.00	$777.40 77% off	$1,892.80	$3,244.80	$3,042.00	2025-01-01
95816	CPT	EEG Awake & Drowsy	9	8	$3,359.00	$772.57 77% off	$1,881.04	$3,224.64	$3,023.10	2025-01-01
73218	CPT	MRI Extre Up Without Jt Without Contrast Lt	9	8	$3,357.00	$772.11 77% off	$1,879.92	$3,222.72	$3,021.30	2025-01-01
19083	CPT	Hchg Mg Breast US Bx W/Clip And Spec Rt	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
19081	CPT	Hchg Mg Breast Stero Bx W/Clip And Spec	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
38505	CPT	Hchg Hc Biopsy Needle Lymph Node Superficial Bl	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
10140	CPT	I & D Hematoma,Seroma,Fluid Collect	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
32408	CPT	Hchg CT Core Needle Bx Lung	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
50200	CPT	Sc>Biopsy Renal Rt	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
47000	CPT	Sc>Biopsy Liver	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
20206	CPT	Sc>Muscle, Soft Tissue Perc	9	8	$3,352.00	$770.96 77% off	$1,877.12	$3,217.92	$3,016.80	2025-01-01
70543	CPT	MRI Orbits Without W/Contrast	9	8	$3,348.00	$770.04 77% off	$1,874.88	$3,214.08	$3,013.20	2025-01-01
73720	CPT	MRI Extre Low Without Jnt Without W/Cont Rt	9	8	$3,326.00	$764.98 77% off	$1,862.56	$3,192.96	$2,993.40	2025-01-01
27810	CPT	Hchg Closed Tx Of Bimalleolar Ankle Fracture	9	8	$3,323.00	$764.29 77% off	$1,860.88	$3,190.08	$2,990.70	2025-01-01
26645	CPT	Treat Thumb Fracture-marl	9	8	$3,323.00	$764.29 77% off	$1,860.88	$3,190.08	$2,990.70	2025-01-01
25605	CPT	Hchg Cltx Dstl Rdl Fx/Epiphysl Sep W/Manj When Perf	9	8	$3,323.00	$764.29 77% off	$1,860.88	$3,190.08	$2,990.70	2025-01-01
25565	CPT	Closed Tx Of Radial And Ulnar Shaft Fractures; W Manip	9	8	$3,323.00	$764.29 77% off	$1,860.88	$3,190.08	$2,990.70	2025-01-01
73222	CPT	MRI Extre Up Jt Only W/Contrast Lt	9	8	$3,321.00	$763.83 77% off	$1,859.76	$3,188.16	$2,988.90	2025-01-01
32551	CPT	Chest Tube Procedure	9	8	$3,311.00	$761.53 77% off	$1,854.16	$3,178.56	$2,979.90	2025-01-01
33016	CPT	Hchg Pericardiocentesis With Imaging	9	8	$3,311.00	$761.53 77% off	$1,854.16	$3,178.56	$2,979.90	2025-01-01
74183	CPT	MRI Abdomen Without W/Contrast	9	8	$3,308.00	$760.84 77% off	$1,852.48	$3,175.68	$2,977.20	2025-01-01
72197	CPT	MRI Pelvis Without W/Contrast	9	8	$3,290.00	$756.70 77% off	$1,842.40	$3,158.40	$2,961.00	2025-01-01
73706	CPT	CTA Lower Extremity Without W/Contrast	9	8	$3,285.00	$755.55 77% off	$1,839.60	$3,153.60	$2,956.50	2025-01-01
81220	CPT	Hchg Cystic Fibrosis Mutation Panel	9	8	$3,200.00	$736.00 77% off	$1,792.00	$3,072.00	$2,880.00	2025-01-01
40654	CPT	Hchg Rpr Lip Full Thkns	9	8	$3,153.00	$725.19 77% off	$1,765.68	$3,026.88	$2,837.70	2025-01-01
2307941	LOCAL	Hchg Affinity Graft Soft Tissue 2.5x2.5cm	9	8	$3,150.00	$724.50 77% off	$1,764.00	$3,024.00	$2,835.00	2025-01-01
78265	CPT	Hchg Gastric Empty W/Sm Bowel	9	8	$3,112.00	$715.76 77% off	$1,742.72	$2,987.52	$2,800.80	2025-01-01
74182	CPT	MRI Abdomen W/Contrast	9	8	$3,110.00	$715.30 77% off	$1,741.60	$2,985.60	$2,799.00	2025-01-01
2306214	LOCAL	Hchg Interstim Smart Programmer Kit Th90p01	9	8	$3,104.00	$713.92 77% off	$1,738.24	$2,979.84	$2,793.60	2025-01-01
74175	CPT	CTA Abdomen Without W/Contrast	9	8	$3,092.00	$711.16 77% off	$1,731.52	$2,968.32	$2,782.80	2025-01-01
72191	CPT	CTA Pelvis Without W/Contrast	9	8	$3,087.00	$710.01 77% off	$1,728.72	$2,963.52	$2,778.30	2025-01-01
G0390	HCPCS	Hchc Trauma Evaluation With Critical Care	18	8	$3,915.50	$900.57 77% off	$1,585.36	$4,800.00	$2,758.88	2025-01-01
2301582	LOCAL	Hchg Or Trays Mini Fragment	9	8	$3,062.00	$704.26 77% off	$1,714.72	$2,939.52	$2,755.80	2025-01-01
74177	CPT	Hchg CT Abd/Pelvis W/Contrast	9	8	$3,056.00	$702.88 77% off	$1,711.36	$2,933.76	$2,750.40	2025-01-01
72157	CPT	MRI Spine Thoracic W/wo Contr	9	8	$3,002.00	$690.46 77% off	$1,681.12	$2,881.92	$2,701.80	2025-01-01
2308250	LOCAL	Hchg Modal Right Femoral Cr Sz 2-5	9	8	$3,000.00	$690.00 77% off	$1,680.00	$2,880.00	$2,700.00	2025-01-01
72156	CPT	MRI Spine Cervical W/wo Contr	9	8	$2,993.00	$688.39 77% off	$1,676.08	$2,873.28	$2,693.70	2025-01-01
73206	CPT	CTA Upper Extremity Without W/Contrast	9	8	$2,984.00	$686.32 77% off	$1,671.04	$2,864.64	$2,685.60	2025-01-01
72158	CPT	MRI Spine Lumbar/Sacrum W/wo Contr	9	8	$2,984.00	$686.32 77% off	$1,671.04	$2,864.64	$2,685.60	2025-01-01
70553	CPT	MRI Brain Without With Contrast	9	8	$2,975.00	$684.25 77% off	$1,666.00	$2,856.00	$2,677.50	2025-01-01
2307837	LOCAL	Hchg Or Level 3 1st 30 Min	9	8	$2,975.00	$684.25 77% off	$1,666.00	$2,856.00	$2,677.50	2025-01-01
78803	CPT	Hchg Rp Loclzj Tum Spect 1 Area Single Day Imaging	9	8	$2,950.00	$678.50 77% off	$1,652.00	$2,832.00	$2,655.00	2025-01-01
88309	CPT	Gross/Micro, Level 6	9	8	$2,904.00	$667.92 77% off	$1,626.24	$2,787.84	$2,613.60	2025-01-01
801495	LOCAL	Gynecare Tvt Secure System	9	8	$2,902.00	$667.46 77% off	$1,625.12	$2,785.92	$2,611.80	2025-01-01
2307954	LOCAL	Hchg Surgimesh Xb 12cm	9	8	$2,775.00	$638.25 77% off	$1,554.00	$2,664.00	$2,497.50	2025-01-01
Q4100	HCPCS	Hchg Amniofix 4x4	9	8	$2,760.00	$634.80 77% off	$1,545.60	$2,649.60	$2,484.00	2025-01-01
74170	CPT	CT Abdomen Without With Contrast	9	8	$2,750.00	$632.50 77% off	$1,540.00	$2,640.00	$2,475.00	2025-01-01
71275	CPT	CTA Chest Without W/Contrast	9	8	$2,750.00	$632.50 77% off	$1,540.00	$2,640.00	$2,475.00	2025-01-01
72194	CPT	CT Pelvis Without With Contrast	9	8	$2,736.00	$629.28 77% off	$1,532.16	$2,626.56	$2,462.40	2025-01-01
70496	CPT	CTA Head Without W/Contrast	9	8	$2,718.00	$625.14 77% off	$1,522.08	$2,609.28	$2,446.20	2025-01-01
70498	CPT	CTA Neck Without W/Contrast	9	8	$2,714.00	$624.22 77% off	$1,519.84	$2,605.44	$2,442.60	2025-01-01
70542	CPT	MRI Orbits W/Contrast	9	8	$2,705.00	$622.15 77% off	$1,514.80	$2,596.80	$2,434.50	2025-01-01
78278	CPT	Nm Gi Bleed	9	8	$2,703.00	$621.69 77% off	$1,513.68	$2,594.88	$2,432.70	2025-01-01
2301069	LOCAL	Hdgh Mesh Circle 6 Ventralight	9	8	$2,691.00	$618.93 77% off	$1,506.96	$2,583.36	$2,421.90	2025-01-01
72142	CPT	MRI Spine Cervical W/Contr	9	8	$2,691.00	$618.93 77% off	$1,506.96	$2,583.36	$2,421.90	2025-01-01
73202	CPT	CT Extremity Upper Without With Ctrst Lt	9	8	$2,682.00	$616.86 77% off	$1,501.92	$2,574.72	$2,413.80	2025-01-01
78315	CPT	Nm Bone Imaging 3 Phase	9	8	$2,670.00	$614.10 77% off	$1,495.20	$2,563.20	$2,403.00	2025-01-01
72147	CPT	MRI Spine Thoracic W/Contr	9	8	$2,664.00	$612.72 77% off	$1,491.84	$2,557.44	$2,397.60	2025-01-01
78195	CPT	Nm Lymph Gland Imaging	9	8	$2,663.00	$612.49 77% off	$1,491.28	$2,556.48	$2,396.70	2025-01-01
78264	CPT	Nm Gastric Emptying Scan	9	8	$2,630.00	$604.90 77% off	$1,472.80	$2,524.80	$2,367.00	2025-01-01
70552	CPT	MRI Brain With Contr	9	8	$2,628.00	$604.44 77% off	$1,471.68	$2,522.88	$2,365.20	2025-01-01
72149	CPT	MRI Spine Lumbar/Sacrum With Contr	9	8	$2,628.00	$604.44 77% off	$1,471.68	$2,522.88	$2,365.20	2025-01-01
78071	CPT	Hchg Nm Parathyroid Planar W/Spect	9	8	$2,627.00	$604.21 77% off	$1,471.12	$2,521.92	$2,364.30	2025-01-01
78226	CPT	Hchg Nm Hepatobiliary Without Kinevac	9	8	$2,597.00	$597.31 77% off	$1,454.32	$2,493.12	$2,337.30	2025-01-01
2307520	LOCAL	Hchg I/p Room Surgical	9	8	$2,552.00	$586.96 77% off	$1,429.12	$2,449.92	$2,296.80	2025-01-01
78582	CPT	Hchg Nm Pulmonary Vent/Perfusion	9	8	$2,518.00	$579.14 77% off	$1,410.08	$2,417.28	$2,266.20	2025-01-01
C1897	HCPCS	Hchg Kit Lead Trail Infinion 1 X 16 50 Cm	18	8	$3,450.00	$793.50 77% off	$924.00	$5,040.00	$2,262.00	2025-01-01
81222	CPT	Hchg Cftr Gene Anaylsis Duplication	9	8	$2,502.00	$575.46 77% off	$1,401.12	$2,401.92	$2,251.80	2025-01-01
78451	CPT	Hchg Nm Myocardial Resting/Spect Single	9	8	$2,475.00	$569.25 77% off	$1,386.00	$2,376.00	$2,227.50	2025-01-01
88374	CPT	Hchg Bone Marrow, Neogenomics Compass 88374 Fish Auto First	9	8	$2,445.00	$562.35 77% off	$1,369.20	$2,347.20	$2,200.50	2025-01-01
C1762	HCPCS	Hchg 3cm X 6cm Stravix Mesh	18	8	$3,116.50	$716.80 77% off	$1,260.00	$3,823.68	$2,195.24	2025-01-01
72193	CPT	CT Pelvis With Contrast	9	8	$2,439.00	$560.97 77% off	$1,365.84	$2,341.44	$2,195.10	2025-01-01
2307518	LOCAL	Hchg I/p Room Isolation	9	8	$2,436.00	$560.28 77% off	$1,364.16	$2,338.56	$2,192.40	2025-01-01
74160	CPT	CT Abdomen With Contrast	9	8	$2,426.00	$557.98 77% off	$1,358.56	$2,328.96	$2,183.40	2025-01-01
78802	CPT	Hchg Rp Loclzj Tum Plnr Whold Body Single Day Imaging	9	8	$2,426.00	$557.98 77% off	$1,358.56	$2,328.96	$2,183.40	2025-01-01
2307864	LOCAL	Hchg Perfix Light Plug Mesh	9	8	$2,426.00	$557.98 77% off	$1,358.56	$2,328.96	$2,183.40	2025-01-01
2300842	LOCAL	Hchg Nm Colld 1mci Per Vi - Radiology Rx	9	8	$2,422.00	$557.06 77% off	$1,356.32	$2,325.12	$2,179.80	2025-01-01
2308729	LOCAL	Hchc Trauma Evaluation Without Critical Care	9	8	$2,403.00	$552.69 77% off	$1,345.68	$2,306.88	$2,162.70	2025-01-01
2308254	LOCAL	Hchg Revision Tibial Tray Sz 2-5	9	8	$2,400.00	$552.00 77% off	$1,344.00	$2,304.00	$2,160.00	2025-01-01
87507	CPT	Hchg Gastrointestinal Pathogen Panel Pcr 87507	9	8	$2,396.00	$551.08 77% off	$1,341.76	$2,300.16	$2,156.40	2025-01-01
87483	CPT	Hchg Meningitis/Encephalitis Panel Pcr Csf	9	8	$2,396.00	$551.08 77% off	$1,341.76	$2,300.16	$2,156.40	2025-01-01
0202U	CPT	Hchg Respiratory Pathogen Panel Pcr Filmarray 2.1	9	8	$2,396.00	$551.08 77% off	$1,341.76	$2,300.16	$2,156.40	2025-01-01
78598	CPT	Hchg Nm Pulmonary Vent/Pef Quant	9	8	$2,350.00	$540.50 77% off	$1,316.00	$2,256.00	$2,115.00	2025-01-01
52442	CPT	Hchg Cysto Insertion Transprostatic Implant, Each Addtl	9	8	$2,349.00	$540.27 77% off	$1,315.44	$2,255.04	$2,114.10	2025-01-01
2307883	LOCAL	Hchg Eswl Unit	9	8	$2,320.00	$533.60 77% off	$1,299.20	$2,227.20	$2,088.00	2025-01-01
78070	CPT	Hchg Nm Parathyroid Planar Imaging	9	8	$2,300.00	$529.00 77% off	$1,288.00	$2,208.00	$2,070.00	2025-01-01
70540	CPT	MRI Orbits Without Contrast	9	8	$2,291.00	$526.93 77% off	$1,282.96	$2,199.36	$2,061.90	2025-01-01
78306	CPT	Nm Bone Imaging Whole Body	9	8	$2,277.00	$523.71 77% off	$1,275.12	$2,185.92	$2,049.30	2025-01-01
2301067	LOCAL	Hdgh Mesh Circle 4.5 Ventralight	9	8	$2,270.00	$522.10 77% off	$1,271.20	$2,179.20	$2,043.00	2025-01-01
2307547	LOCAL	Hchg Optical Fiber 365 Um - Single Use	9	8	$2,270.00	$522.10 77% off	$1,271.20	$2,179.20	$2,043.00	2025-01-01
72195	CPT	MRI Pelvis Without Contrast	9	8	$2,255.00	$518.65 77% off	$1,262.80	$2,164.80	$2,029.50	2025-01-01
73718	CPT	MRI Extre Low Without Jt Without Cont Lt	9	8	$2,250.00	$517.50 77% off	$1,260.00	$2,160.00	$2,025.00	2025-01-01
70547	CPT	MRA Neck Without Contrast	9	8	$2,241.00	$515.43 77% off	$1,254.96	$2,151.36	$2,016.90	2025-01-01
70544	CPT	MRA Head Without Contrast	9	8	$2,237.00	$514.51 77% off	$1,252.72	$2,147.52	$2,013.30	2025-01-01
802877	LOCAL	Surg Level Ii - 1st 30 Min	9	8	$2,225.00	$511.75 77% off	$1,246.00	$2,136.00	$2,002.50	2025-01-01
802881	LOCAL	Surg Level IV - 1st 30 Min	9	8	$2,225.00	$511.75 77% off	$1,246.00	$2,136.00	$2,002.50	2025-01-01
2307944	LOCAL	Hchg Apligraf	9	8	$2,219.00	$510.37 77% off	$1,242.64	$2,130.24	$1,997.10	2025-01-01
2307835	LOCAL	Hchg Or Level 2 1st 30 Min	9	8	$2,210.00	$508.30 77% off	$1,237.60	$2,121.60	$1,989.00	2025-01-01
2307516	LOCAL	Hchg Swg Sp Room Moderate	9	8	$2,088.00	$480.24 77% off	$1,169.28	$2,004.48	$1,879.20	2025-01-01
93975	CPT	Duplex Abdominal Vascular Imaging	9	8	$2,082.00	$478.86 77% off	$1,165.92	$1,998.72	$1,873.80	2025-01-01
73221	CPT	MRI Extre Up Jnt Only Without Cont Bil	18	8	$2,447.00	$562.81 77% off	$1,096.48	$2,818.56	$1,869.89	2025-01-01
73721	CPT	MRI Extre Low Jnt Only Without Cont Bil	18	8	$2,441.50	$561.54 77% off	$1,093.68	$2,812.80	$1,865.12	2025-01-01
88307	CPT	Gross/Micro, Level 5	9	8	$2,069.00	$475.87 77% off	$1,158.64	$1,986.24	$1,862.10	2025-01-01
73201	CPT	CT Extremity Upper With Contrast Rt	9	8	$2,048.00	$471.04 77% off	$1,146.88	$1,966.08	$1,843.20	2025-01-01
70492	CPT	CT Neck Soft Tissue Without With Contr	9	8	$2,043.00	$469.89 77% off	$1,144.08	$1,961.28	$1,838.70	2025-01-01
61055	CPT	Hchg Xr Myelogram W/img-cervical	9	8	$2,032.00	$467.36 77% off	$1,137.92	$1,950.72	$1,828.80	2025-01-01
93925	CPT	Duplex Arterial Imag Lwr Extr Bi	9	8	$2,013.00	$462.99 77% off	$1,127.28	$1,932.48	$1,811.70	2025-01-01
78800	CPT	Nm Abscess Loc Inflam Proc Limited	9	8	$2,000.00	$460.00 77% off	$1,120.00	$1,920.00	$1,800.00	2025-01-01
81408	CPT	Hchg Ehlers-danlos Syndrome Gene Panel 81408 2	9	8	$2,000.00	$460.00 77% off	$1,120.00	$1,920.00	$1,800.00	2025-01-01
2301068	LOCAL	Hdgh Mesh Oval 4x6 Ventralight	9	8	$1,980.00	$455.40 77% off	$1,108.80	$1,900.80	$1,782.00	2025-01-01
2307517	LOCAL	Hchg I/p Room Resp/Tele	9	8	$1,952.00	$448.96 77% off	$1,093.12	$1,873.92	$1,756.80	2025-01-01
73702	CPT	CT Extremity Lower Without With Ctrst Lt	9	8	$1,940.00	$446.20 77% off	$1,086.40	$1,862.40	$1,746.00	2025-01-01
72133	CPT	CT Spine Lumbar W/wo Contr	9	8	$1,940.00	$446.20 77% off	$1,086.40	$1,862.40	$1,746.00	2025-01-01
2307833	LOCAL	Hchg Or Level 1st 30 Min	9	8	$1,936.00	$445.28 77% off	$1,084.16	$1,858.56	$1,742.40	2025-01-01
72127	CPT	CT Spine Cervical W/wo Contr	9	8	$1,935.00	$445.05 77% off	$1,083.60	$1,857.60	$1,741.50	2025-01-01
71270	CPT	CT Chest W & Without Contrast	9	8	$1,931.00	$444.13 77% off	$1,081.36	$1,853.76	$1,737.90	2025-01-01
78014	CPT	Hchg Nm Thyroid Uptake And Imaging	9	8	$1,931.00	$444.13 77% off	$1,081.36	$1,853.76	$1,737.90	2025-01-01
2307515	LOCAL	Hchg Swg Sp Room Isolation	9	8	$1,902.00	$437.46 77% off	$1,065.12	$1,825.92	$1,711.80	2025-01-01
81272	CPT	Hchg Kit (c-kit) Mutation Analysis 81272 Neo	9	8	$1,895.00	$435.85 77% off	$1,061.20	$1,819.20	$1,705.50	2025-01-01
46050	CPT	Hchg I &d Perianal Abscess	9	8	$1,890.00	$434.70 77% off	$1,058.40	$1,814.40	$1,701.00	2025-01-01
64640	CPT	Hchg Peripheral Nerve Rfa (Radiofrequency Ablation), 3 Occipital Nerves	9	8	$1,885.00	$433.55 77% off	$1,055.60	$1,809.60	$1,696.50	2025-01-01
64493	CPT	Hchg Facet Joint Block, First Level, Lumbar	9	8	$1,885.00	$433.55 77% off	$1,055.60	$1,809.60	$1,696.50	2025-01-01
64490	CPT	Hchg Facet Joint Block, First Level, Cervical	9	8	$1,885.00	$433.55 77% off	$1,055.60	$1,809.60	$1,696.50	2025-01-01
2307519	LOCAL	Hchg I/p Room Moderate	9	8	$1,882.00	$432.86 77% off	$1,053.92	$1,806.72	$1,693.80	2025-01-01
2307945	LOCAL	Hchgpuraply Am Xt-com 3.4x3.4	9	8	$1,875.00	$431.25 77% off	$1,050.00	$1,800.00	$1,687.50	2025-01-01
L8689	HCPCS	Hchg Charging System Axonics	9	8	$1,875.00	$431.25 77% off	$1,050.00	$1,800.00	$1,687.50	2025-01-01
L8606	HCPCS	Hchg Bulkamid Urethral Bulking System	9	8	$1,875.00	$431.25 77% off	$1,050.00	$1,800.00	$1,687.50	2025-01-01
2300930	LOCAL	Hchg Abdominal Paracentesis, With Imaging Guidance	9	8	$1,874.00	$431.02 77% off	$1,049.44	$1,799.04	$1,686.60	2025-01-01
49451	CPT	Hchg Replcmnt Duodenstomy Or Jejunal Tube	9	8	$1,874.00	$431.02 77% off	$1,049.44	$1,799.04	$1,686.60	2025-01-01
49083	CPT	Hchg US Guided Paracente Abd	9	8	$1,874.00	$431.02 77% off	$1,049.44	$1,799.04	$1,686.60	2025-01-01
44799	CPT	Hchg Unlisted Procedure, Intestine	9	8	$1,874.00	$431.02 77% off	$1,049.44	$1,799.04	$1,686.60	2025-01-01
160089	LOCAL	Hchg Picc Insertion Rnicu	9	8	$1,872.00	$430.56 77% off	$1,048.32	$1,797.12	$1,684.80	2025-01-01
100001	LOCAL	Semi Private Room	9	8	$1,868.00	$429.64 77% off	$1,046.08	$1,793.28	$1,681.20	2025-01-01
99291	CPT	Hc Critical Care 30-74 Minutes	9	8	$1,835.00	$422.05 77% off	$1,027.60	$1,761.60	$1,651.50	2025-01-01
78580	CPT	Nm Pulmonary Perf/Vent Lung Scan	9	8	$1,808.00	$415.84 77% off	$1,012.48	$1,735.68	$1,627.20	2025-01-01
2308117	LOCAL	Hchg Corentec Mirabo Cup 3 Hole	9	8	$1,800.00	$414.00 77% off	$1,008.00	$1,728.00	$1,620.00	2025-01-01
2307948	LOCAL	Hchg Urolift Atc System	9	8	$1,800.00	$414.00 77% off	$1,008.00	$1,728.00	$1,620.00	2025-01-01
74181	CPT	MRI Abdomen Without Contrast	9	8	$1,796.00	$413.08 77% off	$1,005.76	$1,724.16	$1,616.40	2025-01-01
70551	CPT	MRI Brain Without Contr	9	8	$1,787.00	$411.01 77% off	$1,000.72	$1,715.52	$1,608.30	2025-01-01
70481	CPT	CT Iac/Mastoids With Contrast	9	8	$1,787.00	$411.01 77% off	$1,000.72	$1,715.52	$1,608.30	2025-01-01
600079	LOCAL	I&d Fb Complicated	9	8	$1,764.00	$405.72 77% off	$987.84	$1,693.44	$1,587.60	2025-01-01
78300	CPT	Nm Bone Imaging Limited	9	8	$1,762.00	$405.26 77% off	$986.72	$1,691.52	$1,585.80	2025-01-01
70488	CPT	CT Facial Bones/Sinus Without With Cont	9	8	$1,751.00	$402.73 77% off	$980.56	$1,680.96	$1,575.90	2025-01-01
600035	LOCAL	Closed Red/Fracture/Dislocat/Compl	9	8	$1,746.00	$401.58 77% off	$977.76	$1,676.16	$1,571.40	2025-01-01
2307881	LOCAL	Hchg Laser	9	8	$1,745.00	$401.35 77% off	$977.20	$1,675.20	$1,570.50	2025-01-01
72148	CPT	MRI Spine Lumbar/Sacrum Wo Cont	9	8	$1,715.00	$394.45 77% off	$960.40	$1,646.40	$1,543.50	2025-01-01
72141	CPT	MRI Spine Cervical Without Contr	9	8	$1,710.00	$393.30 77% off	$957.60	$1,641.60	$1,539.00	2025-01-01
72146	CPT	MRI Spine Thoracic Without Contr	9	8	$1,706.00	$392.38 77% off	$955.36	$1,637.76	$1,535.40	2025-01-01
809711	LOCAL	Hchg Kneealign 2 Navigation Unit	9	8	$1,696.00	$390.08 77% off	$949.76	$1,628.16	$1,526.40	2025-01-01
802882	LOCAL	Surg Level IV - Addt'l 30 Min	9	8	$1,694.00	$389.62 77% off	$948.64	$1,626.24	$1,524.60	2025-01-01
81263	CPT	Hchg Igh Somatic Hypermutation In B-cll	9	8	$1,693.00	$389.39 77% off	$948.08	$1,625.28	$1,523.70	2025-01-01
70491	CPT	CT Neck Soft Tissue With Contrast	9	8	$1,679.00	$386.17 77% off	$940.24	$1,611.84	$1,511.10	2025-01-01
76872	CPT	US Prostate	9	8	$1,676.00	$385.48 77% off	$938.56	$1,608.96	$1,508.40	2025-01-01
801509	LOCAL	Harmonic Ace 36cm	9	8	$1,667.00	$383.41 77% off	$933.52	$1,600.32	$1,500.30	2025-01-01
C8928	HCPCS	Hchg Stress Echo W Contrast	9	8	$1,655.00	$380.65 77% off	$926.80	$1,588.80	$1,489.50	2025-01-01
C8929	HCPCS	Hchg Echo 2d W/Dopp/Color Flow W Contrast	9	8	$1,655.00	$380.65 77% off	$926.80	$1,588.80	$1,489.50	2025-01-01
2308252	LOCAL	Hchg Stem14mmx30mm	9	8	$1,650.00	$379.50 77% off	$924.00	$1,584.00	$1,485.00	2025-01-01
802878	LOCAL	Surg Level Ii - Addt'l 30 Min	9	8	$1,644.00	$378.12 77% off	$920.64	$1,578.24	$1,479.60	2025-01-01
802875	LOCAL	Surg Level I - 1st 30 Min	9	8	$1,644.00	$378.12 77% off	$920.64	$1,578.24	$1,479.60	2025-01-01
64636	CPT	Hchg Medical Branch Rfa, Lumbar Or Sacral, Each Sub Level, Inclu Occipital	9	8	$1,640.00	$377.20 77% off	$918.40	$1,574.40	$1,476.00	2025-01-01
78472	CPT	Nm Muga Studies	9	8	$1,637.00	$376.51 77% off	$916.72	$1,571.52	$1,473.30	2025-01-01
73200	CPT	CT Extremity Upper Without Contrast Rt	9	8	$1,602.00	$368.46 77% off	$897.12	$1,537.92	$1,441.80	2025-01-01
70470	CPT	CT Head Without With Contrast	9	8	$1,598.00	$367.54 77% off	$894.88	$1,534.08	$1,438.20	2025-01-01
93930	CPT	Duplex Arterial Imag Upr Extr Bi	9	8	$1,591.00	$365.93 77% off	$890.96	$1,527.36	$1,431.90	2025-01-01
74280	CPT	Hchg Radiologic Exam Colon Double Contrast Study	9	8	$1,591.00	$365.93 77% off	$890.96	$1,527.36	$1,431.90	2025-01-01
2300569	LOCAL	Hchg Swg Semi Pr Room	9	8	$1,588.00	$365.24 77% off	$889.28	$1,524.48	$1,429.20	2025-01-01
78215	CPT	Nm Liver/Spleen Imaging	9	8	$1,581.00	$363.63 77% off	$885.36	$1,517.76	$1,422.90	2025-01-01
72129	CPT	CT Spine Thoracic With Contrast	9	8	$1,580.00	$363.40 77% off	$884.80	$1,516.80	$1,422.00	2025-01-01
71260	CPT	CT Chest With Contrast	9	8	$1,575.00	$362.25 77% off	$882.00	$1,512.00	$1,417.50	2025-01-01
73701	CPT	CT Extremity Lower With Contrast Lt	9	8	$1,575.00	$362.25 77% off	$882.00	$1,512.00	$1,417.50	2025-01-01
831326	LOCAL	Hchg Urolift 2 Cartridge Handle Kit	9	8	$1,575.00	$362.25 77% off	$882.00	$1,512.00	$1,417.50	2025-01-01
L8699	HCPCS	Hchg Urolift 2 Implant Cartridge	9	8	$1,575.00	$362.25 77% off	$882.00	$1,512.00	$1,417.50	2025-01-01
2307612	LOCAL	Hchg Urolift 2 Implant Cartridge Handle Kit	9	8	$1,575.00	$362.25 77% off	$882.00	$1,512.00	$1,417.50	2025-01-01
72132	CPT	CT Spine Lumbar W/Contr	9	8	$1,571.00	$361.33 77% off	$879.76	$1,508.16	$1,413.90	2025-01-01
72126	CPT	CT Spine Cervical W/Contr	9	8	$1,566.00	$360.18 77% off	$876.96	$1,503.36	$1,409.40	2025-01-01
813871	LOCAL	Hchg Mesh Y Upsylon	9	8	$1,542.00	$354.66 77% off	$863.52	$1,480.32	$1,387.80	2025-01-01
93970	CPT	Duplex Venous Extremity Veins Bi	9	8	$1,531.00	$352.13 77% off	$857.36	$1,469.76	$1,377.90	2025-01-01
2308584	LOCAL	Hchg Alconclareon Vivity Lens	9	8	$1,524.00	$350.52 77% off	$853.44	$1,463.04	$1,371.60	2025-01-01
93880	CPT	Duplex Carotid Artery Complete	18	8	$1,512.00	$347.76 77% off	$846.16	$1,452.48	$1,360.80	2025-01-01
Q4133	HCPCS	Hchg Stravix 3cm X 6cm Tissue Matrix	18	8	$2,358.00	$542.34 77% off	$53.20	$4,436.16	$1,339.48	2025-01-01
78579	CPT	Hchg Nm Pulmonary Ventilation Only	9	8	$1,485.00	$341.55 77% off	$831.60	$1,425.60	$1,336.50	2025-01-01
802879	LOCAL	Surg Level Iii - 1st 30 Min	9	8	$1,484.00	$341.32 77% off	$831.04	$1,424.64	$1,335.60	2025-01-01
Q4197	HCPCS	Hchg Puraply Am Xt-com 4.91x4.91 Extra Fenestrated	18	8	$2,272.00	$522.56 77% off	$171.36	$4,068.48	$1,333.52	2025-01-01
87902	CPT	Hchg Hepatitis C Viral RNA Genotype 1 Ns5a Drug Resistance	9	8	$1,480.00	$340.40 77% off	$828.80	$1,420.80	$1,332.00	2025-01-01
P9037	HCPCS	Hchg Platelet Pheresis Irr	9	8	$1,459.00	$335.57 77% off	$817.04	$1,400.64	$1,313.10	2025-01-01
19000	CPT	Sc>Breast Cyst Aspiration Lt	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
10005	CPT	Hchg Fna With US First Lesion	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
55000	CPT	Hchg Drainage Of Hydrocelle Tunica	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
42400	CPT	Hchg Sc>Biopsy Of Salivary Gland	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
10081	CPT	I&d Complicated	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
19285	CPT	Hchg Mg Breast Needle Loc US Lt	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
10080	CPT	Hchg I&d Pilonidal Cyst Simple	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
19283	CPT	Hchg Mg Breast Needle Loc Stereo Rt	9	8	$1,455.00	$334.65 77% off	$814.80	$1,396.80	$1,309.50	2025-01-01
74176	CPT	Hchg CT Abd/Pelvis Without Contrast	9	8	$1,436.00	$330.28 77% off	$804.16	$1,378.56	$1,292.40	2025-01-01
64450	CPT	Hchg Injection Anes Other Peripheral Nerve/Branch	9	8	$1,430.00	$328.90 77% off	$800.80	$1,372.80	$1,287.00	2025-01-01
62323	CPT	Hchg Lumbar/Sacral Interlaminar Epidural Steroid Injection With Fluoroscopy	9	8	$1,430.00	$328.90 77% off	$800.80	$1,372.80	$1,287.00	2025-01-01
62321	CPT	Hchg Cervical/Thoracic Interlaminar Epidural Steroid Injection With Fluoros	9	8	$1,430.00	$328.90 77% off	$800.80	$1,372.80	$1,287.00	2025-01-01
62270	CPT	Lumbar Puncture	9	8	$1,430.00	$328.90 77% off	$800.80	$1,372.80	$1,287.00	2025-01-01
G0260	HCPCS	Hchg Sacroiliac Joint Injection (Medicare Code)	9	8	$1,430.00	$328.90 77% off	$800.80	$1,372.80	$1,287.00	2025-01-01
20606	CPT	Hchg US Guided Inj/Asp Intermed Joint	9	8	$1,430.00	$328.90 77% off	$800.80	$1,372.80	$1,287.00	2025-01-01
62284	CPT	Hchg Xr Myelogram W/img-complete	27	8	$1,463.00	$336.49 77% off	$469.84	$1,894.08	$1,282.45	2025-01-01
19084	CPT	Hchg Ea Add US Bx Lesion	18	8	$1,470.50	$338.22 77% off	$770.00	$1,503.36	$1,278.75	2025-01-01
51720	CPT	Hchg Chemo Admin Bladder Instillation 1 Hr	9	8	$1,412.00	$324.76 77% off	$790.72	$1,355.52	$1,270.80	2025-01-01
70487	CPT	CT Facial Bones/Sinus With Contrast	9	8	$1,395.00	$320.85 77% off	$781.20	$1,339.20	$1,255.50	2025-01-01
70480	CPT	CT Iac/Mastoids Without Contrast	9	8	$1,386.00	$318.78 77% off	$776.16	$1,330.56	$1,247.40	2025-01-01
78700	CPT	Nm Renal Imaging, Static Only	9	8	$1,366.00	$314.18 77% off	$764.96	$1,311.36	$1,229.40	2025-01-01
2308253	LOCAL	Hchg Uc Tibial Insert 9mm	9	8	$1,350.00	$310.50 77% off	$756.00	$1,296.00	$1,215.00	2025-01-01
620001	LOCAL	Bladder Chemo Therapy	9	8	$1,348.00	$310.04 77% off	$754.88	$1,294.08	$1,213.20	2025-01-01
78102	CPT	Nm Bone Marrow Imaging, Limited	9	8	$1,346.00	$309.58 77% off	$753.76	$1,292.16	$1,211.40	2025-01-01
88344	CPT	Hchg Immunohistochemistry (Ihc) Multiplex Stain - Tc	9	8	$1,346.00	$309.58 77% off	$753.76	$1,292.16	$1,211.40	2025-01-01
92960	CPT	Cardioversion Ecc	9	8	$1,346.00	$309.58 77% off	$753.76	$1,292.16	$1,211.40	2025-01-01

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