Hospital

CENTRACARE - BENSON

Benson, MN · CCN 241365 · Rates published

2,203 distinct procedures filed

8 distinct payers

142,152 rate rows

2024-12-30 last MRF observed · ⚠ 22 mo old

Data quality

79,037 of 142,152 rate rows are consumer-grade (55.6%)

63,115 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	53,664
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	7,710
per-diem day rate — not a per-procedure price	1,628
placeholder amount (≤ $0.02) — excluded from medians	73
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	35
percent-of-charges filed in the dollar field — excluded from medians	5

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 22 months old.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://www.centracare.com/app/files/public/f420426d-7940-495f-88ca-aba344457e49/920754820_centracare-benson-hospital_standardcharges.csv
Found on page	https://www.centracare.com/patient-resources/estimates/pricing/
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-23
Content fingerprint	139fe920c5da7368… · 50,899,970 bytes · first seen 2026-05-06

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
J2350 HCPCS	Ocrelizumab 30 Mg/ml IV Soln	8	$18,805.49	$45,620.65	$22,143.57	nat. median $470 outlier · 47.1×
J1303 HCPCS	Ravulizumab-cwvz 100 Mg/ml IV Soln	8	$6,108.75	$49,667.61	$17,972.24	nat. median $5,977 outlier · 3.0×
J9022 HCPCS	Atezolizumab 1,200 Mg/20 Ml (60 Mg/ml) IV Soln	8	$9,611.66	$21,146.10	$11,851.62	nat. median $6,785 1.7× median
J3380 HCPCS	Vedolizumab 300 Mg IV Solr	8	$8,267.02	$17,295.03	$9,978.37	nat. median $162 outlier · 61.6×
PX-25002250 CDM	Orif Humerous Midshaft	8	$7,914.16	$17,950.00	$9,758.52	nat. median $9,689 1.0× median
PX-25007817 CDM	Orchiopexy, Bilateral	8	$7,883.29	$17,880.00	$9,720.46	nat. median $9,476 1.0× median
PX-25007463 CDM	Laparoscopic Bilateral Partial Salpingectomy	8	$7,742.20	$17,560.00	$9,546.49	nat. median $9,482 1.0× median
J2323 HCPCS	Natalizumab 300 Mg/15 Ml IV Soln	8	$7,512.01	$16,526.75	$9,262.65	nat. median $197 outlier · 47.0×
PX-25002405 CDM	Orif Of Humeral Gamma Nail	8	$7,318.94	$16,600.00	$9,024.59	nat. median $9,062 1.0× median
PX-25002326 CDM	Orif Of Femur Rod	8	$7,318.94	$16,600.00	$9,024.59	nat. median $9,062 1.0× median
PX-25019887 CDM	Reconstruction, Knee, Acl, Pcl, Or Or Medial Collateral Ligament, Using Patellar…	8	$7,318.94	$16,600.00	$9,024.59	nat. median $9,025 1.0× median
PX-25010170 CDM	Total Knee	8	$7,197.69	$16,325.00	$8,875.09	nat. median $8,912 1.0× median
J0896 HCPCS	Luspatercept-aamt 25 Mg Subq Solr	8	$3,265.10	$22,958.27	$8,809.36	nat. median $4,583 1.9× median
PX-25004189 CDM	Arthroplasty Shoulder Partial	8	$7,036.76	$15,960.00	$8,676.65	nat. median $8,713 1.0× median
PX-25007348 CDM	Total Hip Arthroplasty	8	$7,036.76	$15,960.00	$8,676.65	nat. median $9,894 0.9× median
PX-25012229 CDM	Hemiarthroplasty, Hip, Partial	8	$7,036.76	$15,960.00	$8,676.65	nat. median $10,688 0.8× median
PX-25013227 CDM	Arthroplasty, Total Shoulder	8	$7,036.76	$15,960.00	$8,676.65	nat. median $10,688 0.8× median
PX-25009452 CDM	Arthroplasty Shoulder	8	$7,036.76	$15,960.00	$8,676.65	nat. median $10,688 0.8× median
J3101 HCPCS	Tenecteplase 50 Mg IV Solr	8	$6,887.19	$15,152.14	$8,492.23	nat. median $3,820 outlier · 2.2×
J9217 HCPCS	Leuprolide (3 Month) 22.5 Mg IM Sykt	8	$306.34	$23,741.27	$8,488.81	nat. median $1,575 outlier · 5.4×
PX-25002474 CDM	Orif Of Wrist	8	$6,514.30	$14,775.00	$8,032.43	nat. median $7,690 1.0× median
PX-25002211 CDM	Open Rotator Cuff Repair	8	$6,514.30	$14,775.00	$8,032.43	nat. median $7,534 1.1× median
PX-25004058 CDM	Orif Of Humeral Plating	8	$6,514.30	$14,775.00	$8,032.43	nat. median $8,437 1.0× median
PX-25009570 CDM	Open Reduction Tibial Plateau	8	$6,514.30	$14,775.00	$8,032.43	nat. median $8,066 1.0× median
PX-25002427 CDM	Orif Of Patella	8	$6,514.30	$14,775.00	$8,032.43	nat. median $8,104 1.0× median
PX-25002348 CDM	Orif Of Hand	8	$6,514.30	$14,775.00	$8,032.43	nat. median $7,831 1.0× median
PX-25002279 CDM	Orif Of Ankle	8	$6,514.30	$14,775.00	$8,032.43	nat. median $8,104 1.0× median
PX-25004566 CDM	Orif Of Hip/Hip Pinning	8	$6,514.30	$14,775.00	$8,032.43	nat. median $8,437 1.0× median
PX-25002307 CDM	Orif Of Elbow	8	$6,514.30	$14,775.00	$8,032.43	nat. median $8,104 1.0× median
PX-25002283 CDM	Orif Of Clavicle	8	$6,514.30	$14,775.00	$8,032.43	nat. median $7,831 1.0× median
PX-25006307 CDM	Tendon Repair, Bicep	8	$6,437.14	$14,600.00	$7,937.29	nat. median $7,962 1.0× median
PX-25009806 CDM	Repair Tendon Biceps Open	8	$6,437.14	$14,600.00	$7,937.29	nat. median $7,937 1.0× median
PX-25003187 CDM	Tendon Repair	8	$6,437.14	$14,600.00	$7,937.29	nat. median $6,997 1.1× median
PX-25002825 CDM	Repair Achilles Tendon	8	$6,437.14	$14,600.00	$7,937.29	nat. median $8,248 1.0× median
PX-25010104 CDM	Placement Of Gold Fiducial Seeds, Transrectal US	8	$6,238.74	$14,150.00	$7,692.65	nat. median $7,693 1.0× median
PX-25007003 CDM	Knee Arthroscopy With Meniscectomy Incl Chondroplasty, Loose Body Removal And Syno…	8	$6,128.51	$13,900.00	$7,556.74	nat. median $7,506 1.0× median
PX-25001624 CDM	Knee Arthroscopy W Acl Repair	8	$6,128.51	$13,900.00	$7,556.74	nat. median $7,251 1.0× median
PX-25003064 CDM	Shoulder Arthroscopy W Rotator Cuff	8	$6,128.51	$13,900.00	$7,556.74	nat. median $8,379 0.9× median
PX-25015521 CDM	Urethroplasty	8	$6,084.42	$13,800.00	$7,502.37	nat. median $7,502 1.0× median
PX-25001958 CDM	Lithotripsy	8	$6,040.33	$13,700.00	$7,448.01	nat. median $7,261 1.0× median
PX-25000741 CDM	Epiphysiodesis Lower Extremity	8	$5,996.24	$13,600.00	$7,393.64	nat. median $7,173 1.0× median
PX-25004875 CDM	Closed Reduction W Percutaneous Pinning	8	$5,996.24	$13,600.00	$7,393.64	nat. median $7,079 1.0× median
PX-25004977 CDM	Excision Of Bone Spur	8	$5,886.02	$13,350.00	$7,257.73	nat. median $7,209 1.0× median
PX-25000692 CDM	Endo Pubo-vag Bladder Sling W/Tvt	8	$5,863.97	$13,300.00	$7,230.55	nat. median $7,049 1.0× median
PX-25001731 CDM	Laparoscopic Cholecystectomy W Chol	8	$5,797.84	$13,150.00	$7,149.00	nat. median $7,098 1.0× median
PX-25001727 CDM	Laparoscopic Cholecystectomy	8	$5,797.84	$13,150.00	$7,149.00	nat. median $7,098 1.0× median
PX-25001714 CDM	Laparoscopic Appendectomy	8	$5,775.79	$13,100.00	$7,121.82	nat. median $7,071 1.0× median
J2506 HCPCS	Pegfilgrastim 6 Mg/0.6 Ml Subq Syin	8	$2,173.08	$12,423.51	$6,921.94	nat. median $1,646 outlier · 4.2×
PX-25011588 CDM	Ulnar Nerve Repair	8	$5,599.43	$12,700.00	$6,904.35	nat. median $6,731 1.0× median
PX-25001823 CDM	Laparoscopic Tubal Ligation	8	$5,511.25	$12,500.00	$6,795.62	nat. median $6,765 1.0× median

Other procedures at this hospital

Browse this hospital's 2,203 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

J2350	HCPCS	Injection, Ocrelizumab, 1 Mg	24	8	$39,342.02	$29,506.51 25% off	$18,805.49	$45,620.65	$22,143.57	2024-12-30
J1303	HCPCS	Inj., Ravulizumab-cwvz 10 Mg	48	8	$12,779.82	$9,584.86 25% off	$6,108.75	$49,667.61	$17,972.24	2024-12-30
J9022	HCPCS	Inj, Atezolizumab,10 Mg	24	8	$21,800.10	$16,350.07 25% off	$9,611.66	$21,146.10	$11,851.62	2024-12-30
J3380	HCPCS	Inj Vedolizumab IV 1 Mg	26	8	$17,295.03	$12,971.27 25% off	$8,267.02	$17,295.03	$9,978.37	2024-12-30
PX-25002250	CDM	—	24	8	$17,950.00	$13,462.50 25% off	$7,914.16	$17,950.00	$9,758.52	2024-12-30
PX-25007817	CDM	—	24	8	$17,880.00	$13,410.00 25% off	$7,883.29	$17,880.00	$9,720.46	2024-12-30
PX-25007463	CDM	—	24	8	$17,560.00	$13,170.00 25% off	$7,742.20	$17,560.00	$9,546.49	2024-12-30
J2323	HCPCS	Natalizumab Injection	24	8	$17,037.89	$12,778.42 25% off	$7,512.01	$16,526.75	$9,262.65	2024-12-30
PX-25019887	CDM	—	24	8	$16,600.00	$12,450.00 25% off	$7,318.94	$16,600.00	$9,024.59	2024-12-30
PX-25002405	CDM	—	24	8	$16,600.00	$12,450.00 25% off	$7,318.94	$16,600.00	$9,024.59	2024-12-30
PX-25002326	CDM	—	24	8	$16,600.00	$12,450.00 25% off	$7,318.94	$16,600.00	$9,024.59	2024-12-30
PX-25010170	CDM	—	24	8	$16,325.00	$12,243.75 25% off	$7,197.69	$16,325.00	$8,875.09	2024-12-30
J0896	HCPCS	Inj Luspatercept-aamt 0.25mg	48	8	$7,405.54	$5,554.15 25% off	$3,265.10	$22,958.27	$8,809.36	2024-12-30
PX-25007348	CDM	—	24	8	$15,960.00	$11,970.00 25% off	$7,036.76	$15,960.00	$8,676.65	2024-12-30
PX-25012229	CDM	—	24	8	$15,960.00	$11,970.00 25% off	$7,036.76	$15,960.00	$8,676.65	2024-12-30
PX-25004189	CDM	—	24	8	$15,960.00	$11,970.00 25% off	$7,036.76	$15,960.00	$8,676.65	2024-12-30
PX-25009452	CDM	—	24	8	$15,960.00	$11,970.00 25% off	$7,036.76	$15,960.00	$8,676.65	2024-12-30
PX-25013227	CDM	—	24	8	$15,960.00	$11,970.00 25% off	$7,036.76	$15,960.00	$8,676.65	2024-12-30
J3101	HCPCS	Tenecteplase Injection	24	8	$15,620.76	$11,715.57 25% off	$6,887.19	$15,152.14	$8,492.23	2024-12-30
J9217	HCPCS	Leuprolide Acetate Suspnsion	96	8	$12,237.56	$9,178.17 25% off	$306.34	$23,741.27	$8,488.81	2024-12-30
PX-25002211	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25009570	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25002427	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25002283	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25004566	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25002279	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25002474	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25004058	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25002307	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25002348	CDM	—	24	8	$14,775.00	$11,081.25 25% off	$6,514.30	$14,775.00	$8,032.43	2024-12-30
PX-25003187	CDM	—	24	8	$14,600.00	$10,950.00 25% off	$6,437.14	$14,600.00	$7,937.29	2024-12-30
PX-25002825	CDM	—	24	8	$14,600.00	$10,950.00 25% off	$6,437.14	$14,600.00	$7,937.29	2024-12-30
PX-25009806	CDM	—	24	8	$14,600.00	$10,950.00 25% off	$6,437.14	$14,600.00	$7,937.29	2024-12-30
PX-25006307	CDM	—	24	8	$14,600.00	$10,950.00 25% off	$6,437.14	$14,600.00	$7,937.29	2024-12-30
PX-25010104	CDM	—	24	8	$14,150.00	$10,612.50 25% off	$6,238.74	$14,150.00	$7,692.65	2024-12-30
PX-25007003	CDM	—	24	8	$13,900.00	$10,425.00 25% off	$6,128.51	$13,900.00	$7,556.74	2024-12-30
PX-25001624	CDM	—	24	8	$13,900.00	$10,425.00 25% off	$6,128.51	$13,900.00	$7,556.74	2024-12-30
PX-25003064	CDM	—	24	8	$13,900.00	$10,425.00 25% off	$6,128.51	$13,900.00	$7,556.74	2024-12-30
PX-25015521	CDM	—	24	8	$13,800.00	$10,350.00 25% off	$6,084.42	$13,800.00	$7,502.37	2024-12-30
PX-25001958	CDM	—	24	8	$13,700.00	$10,275.00 25% off	$6,040.33	$13,700.00	$7,448.01	2024-12-30
PX-25000741	CDM	—	24	8	$13,600.00	$10,200.00 25% off	$5,996.24	$13,600.00	$7,393.64	2024-12-30
PX-25004875	CDM	—	24	8	$13,600.00	$10,200.00 25% off	$5,996.24	$13,600.00	$7,393.64	2024-12-30
PX-25004977	CDM	—	24	8	$13,350.00	$10,012.50 25% off	$5,886.02	$13,350.00	$7,257.73	2024-12-30
PX-25000692	CDM	—	24	8	$13,300.00	$9,975.00 25% off	$5,863.97	$13,300.00	$7,230.55	2024-12-30
PX-25001727	CDM	—	24	8	$13,150.00	$9,862.50 25% off	$5,797.84	$13,150.00	$7,149.00	2024-12-30
PX-25001731	CDM	—	24	8	$13,150.00	$9,862.50 25% off	$5,797.84	$13,150.00	$7,149.00	2024-12-30
PX-25001714	CDM	—	24	8	$13,100.00	$9,825.00 25% off	$5,775.79	$13,100.00	$7,121.82	2024-12-30
J2506	HCPCS	Inj Pegfilgrast Ex Bio 0.5mg	24	8	$12,807.74	$9,605.80 25% off	$2,173.08	$12,423.51	$6,921.94	2024-12-30
PX-25011588	CDM	—	24	8	$12,700.00	$9,525.00 25% off	$5,599.43	$12,700.00	$6,904.35	2024-12-30
PX-25001823	CDM	—	24	8	$12,500.00	$9,375.00 25% off	$5,511.25	$12,500.00	$6,795.62	2024-12-30
PX-25003812	CDM	—	24	8	$12,199.00	$9,149.25 25% off	$5,378.54	$12,199.00	$6,631.99	2024-12-30
PX-25001246	CDM	—	24	8	$12,199.00	$9,149.25 25% off	$5,378.54	$12,199.00	$6,631.99	2024-12-30
PX-25001196	CDM	—	24	8	$12,199.00	$9,149.25 25% off	$5,378.54	$12,199.00	$6,631.99	2024-12-30
PX-25001202	CDM	—	24	8	$12,199.00	$9,149.25 25% off	$5,378.54	$12,199.00	$6,631.99	2024-12-30
PX-25004784	CDM	—	24	8	$12,100.00	$9,075.00 25% off	$5,334.89	$12,100.00	$6,578.16	2024-12-30
PX-25003326	CDM	—	24	8	$12,100.00	$9,075.00 25% off	$5,334.89	$12,100.00	$6,578.16	2024-12-30
PX-25000418	CDM	—	24	8	$12,080.00	$9,060.00 25% off	$5,326.07	$12,080.00	$6,567.29	2024-12-30
PX-25002246	CDM	—	24	8	$11,920.00	$8,940.00 25% off	$5,255.53	$11,920.00	$6,480.31	2024-12-30
J9271	HCPCS	Inj Pembrolizumab	24	8	$11,538.72	$8,654.04 25% off	$5,515.51	$11,914.67	$6,298.99	2024-12-30
PX-25002629	CDM	—	24	8	$11,550.00	$8,662.50 25% off	$5,092.40	$11,550.00	$6,279.16	2024-12-30
J9299	HCPCS	Injection, Nivolumab	48	8	$5,958.82	$4,469.11 25% off	$2,627.24	$14,778.62	$6,248.74	2024-12-30
J0517	HCPCS	Inj., Benralizumab, 1 Mg	24	8	$11,328.52	$8,496.39 25% off	$4,994.74	$10,988.66	$6,158.75	2024-12-30
PX-25001995	CDM	—	24	8	$11,300.00	$8,475.00 25% off	$4,982.17	$11,300.00	$6,143.24	2024-12-30
PX-25009953	CDM	—	24	8	$10,800.00	$8,100.00 25% off	$4,761.72	$10,800.00	$5,871.42	2024-12-30
PX-25014119	CDM	—	24	8	$10,800.00	$8,100.00 25% off	$4,761.72	$10,800.00	$5,871.42	2024-12-30
PX-25015088	CDM	—	24	8	$10,800.00	$8,100.00 25% off	$4,761.72	$10,800.00	$5,871.42	2024-12-30
PX-25009990	CDM	—	24	8	$10,800.00	$8,100.00 25% off	$4,761.72	$10,800.00	$5,871.42	2024-12-30
PX-25007436	CDM	—	24	8	$10,700.00	$8,025.00 25% off	$4,717.63	$10,700.00	$5,817.06	2024-12-30
PX-25001518	CDM	—	24	8	$10,580.00	$7,935.00 25% off	$4,664.72	$10,580.00	$5,751.82	2024-12-30
PX-25001662	CDM	—	24	8	$10,580.00	$7,935.00 25% off	$4,664.72	$10,580.00	$5,751.82	2024-12-30
PX-25003012	CDM	—	24	8	$10,580.00	$7,935.00 25% off	$4,664.72	$10,580.00	$5,751.82	2024-12-30
PX-25002951	CDM	—	24	8	$10,580.00	$7,935.00 25% off	$4,664.72	$10,580.00	$5,751.82	2024-12-30
J1950	HCPCS	Leuprolide Acetate /3.75 Mg	24	8	$10,269.50	$7,702.12 25% off	$4,527.82	$9,961.42	$5,583.01	2024-12-30
PX-25000130	CDM	—	24	8	$9,770.00	$7,327.50 25% off	$4,307.59	$9,770.00	$5,311.46	2024-12-30
PX-25010705	CDM	—	24	8	$9,200.00	$6,900.00 25% off	$4,056.28	$9,200.00	$5,001.58	2024-12-30
J7168	HCPCS	Prothrombin Complex Kcentra	24	8	$8,920.33	$6,690.25 25% off	$3,932.97	$8,652.72	$4,849.54	2024-12-30
PX-25000520	CDM	—	24	8	$8,800.00	$6,600.00 25% off	$3,879.92	$8,800.00	$4,784.12	2024-12-30
PX-25004608	CDM	—	24	8	$8,600.00	$6,450.00 25% off	$3,791.74	$8,600.00	$4,675.39	2024-12-30
PX-25001261	CDM	—	24	8	$8,525.00	$6,393.75 25% off	$3,758.67	$8,525.00	$4,634.62	2024-12-30
PX-25010325	CDM	—	24	8	$8,430.00	$6,322.50 25% off	$3,716.79	$8,430.00	$4,582.97	2024-12-30
PX-25000219	CDM	—	24	8	$8,400.00	$6,300.00 25% off	$3,703.56	$8,400.00	$4,566.66	2024-12-30
PX-25005812	CDM	—	24	8	$8,380.00	$6,285.00 25% off	$3,694.74	$8,380.00	$4,555.78	2024-12-30
Q5111	HCPCS	Injection, Udenyca 0.5 Mg	24	8	$8,331.63	$6,248.72 25% off	$2,682.72	$8,081.68	$4,502.82	2024-12-30
PX-25006439	CDM	—	24	8	$8,080.00	$6,060.00 25% off	$3,562.47	$8,080.00	$4,392.69	2024-12-30
PX-25007894	CDM	—	24	8	$7,950.00	$5,962.50 25% off	$3,505.16	$7,950.00	$4,322.02	2024-12-30
J9173	HCPCS	Inj., Durvalumab, 10 Mg	24	8	$7,732.38	$5,799.28 25% off	$3,409.21	$7,500.41	$4,203.71	2024-12-30
PX-25022449	CDM	—	24	8	$7,600.00	$5,700.00 25% off	$3,350.84	$7,600.00	$4,131.74	2024-12-30
PX-25003895	CDM	—	24	8	$7,500.00	$5,625.00 25% off	$3,306.75	$7,500.00	$4,077.38	2024-12-30
PX-25000543	CDM	—	24	8	$7,350.00	$5,512.50 25% off	$3,240.62	$7,350.00	$3,995.83	2024-12-30
PX-25000557	CDM	—	24	8	$7,350.00	$5,512.50 25% off	$3,240.62	$7,350.00	$3,995.83	2024-12-30
PX-25002681	CDM	—	24	8	$7,175.00	$5,381.25 25% off	$3,163.46	$7,175.00	$3,900.69	2024-12-30
PX-25012559	CDM	—	24	8	$6,825.00	$5,118.75 25% off	$3,009.14	$6,825.00	$3,710.41	2024-12-30
PX-25006581	CDM	—	24	8	$6,750.00	$5,062.50 25% off	$2,976.08	$6,750.00	$3,669.64	2024-12-30
PX-25001047	CDM	—	24	8	$6,750.00	$5,062.50 25% off	$2,976.08	$6,750.00	$3,669.64	2024-12-30
PX-25003784	CDM	—	24	8	$6,685.00	$5,013.75 25% off	$2,947.42	$6,685.00	$3,634.30	2024-12-30
PX-25000397	CDM	—	24	8	$6,685.00	$5,013.75 25% off	$2,947.42	$6,685.00	$3,634.30	2024-12-30
PX-25009481	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25000503	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25014152	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25009974	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25010005	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25022524	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25000465	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
PX-25003770	CDM	—	24	8	$6,520.00	$4,890.00 25% off	$2,874.67	$6,520.00	$3,544.60	2024-12-30
J2426	HCPCS	Inj, Invega Sustenna, 1 Mg	24	8	$6,516.30	$4,887.22 25% off	$2,873.04	$6,320.81	$3,542.59	2024-12-30
PX-25002654	CDM	—	24	8	$6,500.00	$4,875.00 25% off	$2,865.85	$6,500.00	$3,533.72	2024-12-30
PX-25003118	CDM	—	24	8	$6,500.00	$4,875.00 25% off	$2,865.85	$6,500.00	$3,533.72	2024-12-30
J2182	HCPCS	Injection, Mepolizumab, 1mg	24	8	$6,486.74	$4,865.05 25% off	$2,860.00	$6,292.14	$3,526.52	2024-12-30
PX-25001134	CDM	—	24	8	$6,470.00	$4,852.50 25% off	$2,852.62	$6,470.00	$3,517.41	2024-12-30
90378	HCPCS	Rsv Mab IM 50mg	24	8	$6,439.91	$4,829.93 25% off	$747.30	$6,246.71	$3,480.45	2024-12-30
PX-25002768	CDM	—	24	8	$6,175.00	$4,631.25 25% off	$2,722.56	$6,175.00	$3,357.04	2024-12-30
PX-25001387	CDM	—	24	8	$5,999.00	$4,499.25 25% off	$2,644.96	$5,999.00	$3,261.36	2024-12-30
PX-25003388	CDM	—	24	8	$5,990.00	$4,492.50 25% off	$2,640.99	$5,990.00	$3,256.47	2024-12-30
PX-25007872	CDM	—	24	8	$5,950.00	$4,462.50 25% off	$2,623.36	$5,950.00	$3,234.72	2024-12-30
PX-25007478	CDM	—	24	8	$5,950.00	$4,462.50 25% off	$2,623.36	$5,950.00	$3,234.72	2024-12-30
PX-25011259	CDM	—	24	8	$5,950.00	$4,462.50 25% off	$2,623.36	$5,950.00	$3,234.72	2024-12-30
PX-25000291	CDM	—	24	8	$5,900.00	$4,425.00 25% off	$2,601.31	$5,900.00	$3,207.53	2024-12-30
PX-25000792	CDM	—	24	8	$5,750.00	$4,312.50 25% off	$2,535.18	$5,750.00	$3,125.99	2024-12-30
78816	CPT	PET Image W/ct Full Body	24	8	$5,717.00	$4,287.75 25% off	$2,520.63	$5,545.49	$3,108.05	2024-12-30
78815	CPT	PET Image W/ct Skull-thigh	24	8	$5,676.00	$4,257.00 25% off	$2,502.55	$5,505.72	$3,085.76	2024-12-30
PX-25003105	CDM	—	24	8	$5,600.00	$4,200.00 25% off	$2,469.04	$5,600.00	$3,044.44	2024-12-30
PX-25009392	CDM	—	24	8	$5,600.00	$4,200.00 25% off	$2,469.04	$5,600.00	$3,044.44	2024-12-30
10180	CPT	I&d Complex Po Wound Infctj	24	8	$5,571.00	$4,178.25 25% off	$2,456.25	$5,403.87	$3,028.68	2024-12-30
PX-25009841	CDM	—	24	8	$5,500.00	$4,125.00 25% off	$2,424.95	$5,500.00	$2,990.07	2024-12-30
PX-25004494	CDM	—	24	8	$5,450.00	$4,087.50 25% off	$2,402.91	$5,450.00	$2,962.89	2024-12-30
PX-25000381	CDM	—	24	8	$5,450.00	$4,087.50 25% off	$2,402.91	$5,450.00	$2,962.89	2024-12-30
J0717	HCPCS	Certolizumab Pegol Inj 1mg	24	8	$5,356.59	$4,017.44 25% off	$1,524.00	$5,195.89	$2,894.97	2024-12-30
PX-25000171	CDM	—	24	8	$5,300.00	$3,975.00 25% off	$2,336.77	$5,300.00	$2,881.35	2024-12-30
PX-25004217	CDM	—	24	8	$5,250.00	$3,937.50 25% off	$2,314.73	$5,250.00	$2,854.16	2024-12-30
PX-25009203	CDM	—	24	8	$5,150.00	$3,862.50 25% off	$2,270.64	$5,150.00	$2,799.80	2024-12-30
PX-25001910	CDM	—	24	8	$5,100.00	$3,825.00 25% off	$2,248.59	$5,100.00	$2,772.61	2024-12-30
J0897	HCPCS	Denosumab Injection	48	8	$2,842.93	$2,132.20 25% off	$1,253.45	$5,969.71	$2,735.55	2024-12-30
PX-25003169	CDM	—	24	8	$4,925.00	$3,693.75 25% off	$2,171.43	$4,925.00	$2,677.48	2024-12-30
PX-25003558	CDM	—	24	8	$4,900.00	$3,675.00 25% off	$2,160.41	$4,900.00	$2,663.89	2024-12-30
PX-25007458	CDM	—	24	8	$4,850.00	$3,637.50 25% off	$2,138.37	$4,850.00	$2,636.70	2024-12-30
PX-25004249	CDM	—	24	8	$4,825.00	$3,618.75 25% off	$2,127.34	$4,825.00	$2,623.11	2024-12-30
PX-25002742	CDM	—	24	8	$4,800.00	$3,600.00 25% off	$2,116.32	$4,800.00	$2,609.52	2024-12-30
PX-25003877	CDM	—	24	8	$4,800.00	$3,600.00 25% off	$2,116.32	$4,800.00	$2,609.52	2024-12-30
PX-25003972	CDM	—	24	8	$4,760.00	$3,570.00 25% off	$2,098.68	$4,760.00	$2,587.77	2024-12-30
PX-25000284	CDM	—	24	8	$4,760.00	$3,570.00 25% off	$2,098.68	$4,760.00	$2,587.77	2024-12-30
PX-25004130	CDM	—	24	8	$4,725.00	$3,543.75 25% off	$2,083.25	$4,725.00	$2,568.75	2024-12-30
PX-25001088	CDM	—	24	8	$4,725.00	$3,543.75 25% off	$2,083.25	$4,725.00	$2,568.75	2024-12-30
PX-25003452	CDM	—	24	8	$4,700.00	$3,525.00 25% off	$2,072.23	$4,700.00	$2,555.15	2024-12-30
PX-25002170	CDM	—	24	8	$4,700.00	$3,525.00 25% off	$2,072.23	$4,700.00	$2,555.15	2024-12-30
J3111	HCPCS	Inj. Romosozumab-aqqg 1 Mg	24	8	$4,690.01	$3,517.51 25% off	$2,067.83	$4,549.31	$2,549.73	2024-12-30
PX-25000270	CDM	—	24	8	$4,550.00	$3,412.50 25% off	$2,006.10	$4,550.00	$2,473.61	2024-12-30
27130	CPT	Total Hip Arthroplasty	26	8	$4,791.50	$3,593.62 25% off	$1,108.11	$4,647.76	$2,466.43	2024-12-30
27447	CPT	Total Knee Arthroplasty	26	8	$4,786.50	$3,589.87 25% off	$1,106.68	$4,642.91	$2,463.85	2024-12-30
Q2050	HCPCS	Doxorubicin Inj 10mg	24	8	$4,537.98	$3,403.48 25% off	$948.25	$4,401.84	$2,452.55	2024-12-30
95811	CPT	Polysom 6/>yrs Cpap 4/> Parm	24	8	$4,322.00	$3,241.50 25% off	$1,905.57	$4,192.34	$2,349.65	2024-12-30
J2777	HCPCS	Inj, Faricimab-svoa, 0.1mg	24	8	$4,184.36	$3,138.27 25% off	$1,844.88	$4,058.83	$2,274.82	2024-12-30
59426	CPT	Antepartum Care Only	24	8	$3,166.50	$2,374.87 25% off	$707.85	$3,166.50	$2,256.27	2024-12-30
PX-25000767	CDM	—	24	8	$4,100.00	$3,075.00 25% off	$1,807.69	$4,100.00	$2,228.97	2024-12-30
PX-25011938	CDM	—	24	8	$4,100.00	$3,075.00 25% off	$1,807.69	$4,100.00	$2,228.97	2024-12-30
95810	CPT	Polysom 6/> Yrs 4/> Param	24	8	$4,088.00	$3,066.00 25% off	$1,802.40	$3,965.36	$2,222.44	2024-12-30
PX-32000133	CDM	—	24	8	$4,057.00	$3,042.75 25% off	$1,788.73	$4,057.00	$2,205.59	2024-12-30
PX-25003349	CDM	—	24	8	$4,050.00	$3,037.50 25% off	$1,785.65	$4,050.00	$2,201.78	2024-12-30
J3262	HCPCS	Tocilizumab Injection	48	8	$2,113.61	$1,585.21 25% off	$931.89	$4,825.63	$2,121.81	2024-12-30
PX-25020788	CDM	—	24	8	$3,900.00	$2,925.00 25% off	$1,719.51	$3,900.00	$2,120.24	2024-12-30
PX-38001450	CDM	—	24	8	$3,819.00	$2,864.25 25% off	$1,683.80	$3,819.00	$2,076.20	2024-12-30
PX-25002670	CDM	—	24	8	$3,750.00	$2,812.50 25% off	$1,653.38	$3,750.00	$2,038.69	2024-12-30
PX-38001339	CDM	—	24	8	$3,642.00	$2,731.50 25% off	$1,605.76	$3,642.00	$1,979.97	2024-12-30
PX-38001317	CDM	—	24	8	$3,642.00	$2,731.50 25% off	$1,605.76	$3,642.00	$1,979.97	2024-12-30
PX-38000339	CDM	—	24	8	$3,609.00	$2,706.75 25% off	$1,591.21	$3,609.00	$1,962.03	2024-12-30
G0390	HCPCS	Trauma Respons W/hosp Criti	24	8	$3,570.00	$2,677.50 25% off	$1,574.01	$3,462.90	$1,940.83	2024-12-30
PX-38000799	CDM	—	24	8	$3,559.00	$2,669.25 25% off	$1,569.16	$3,559.00	$1,934.85	2024-12-30
78452	CPT	Ht Muscle Image Spect Mult	24	8	$3,532.00	$2,649.00 25% off	$1,584.52	$3,426.04	$1,928.12	2024-12-30
C5273	HCPCS	—	24	8	$3,402.00	$2,551.50 25% off	$1,499.94	$3,299.94	$1,849.49	2024-12-30
PX-38000746	CDM	—	24	8	$3,399.00	$2,549.25 25% off	$1,498.62	$3,399.00	$1,847.87	2024-12-30
PX-38000710	CDM	—	24	8	$3,399.00	$2,549.25 25% off	$1,498.62	$3,399.00	$1,847.87	2024-12-30
J7296	HCPCS	Kyleena, 19.5 Mg	24	8	$1,841.24	$1,380.93 25% off	$1,051.03	$1,841.24	$1,841.24	2024-12-30
J7298	HCPCS	Mirena, 52 Mg	24	8	$1,841.24	$1,380.93 25% off	$1,051.03	$1,841.24	$1,841.24	2024-12-30
J7307	HCPCS	Etonogestrel Implant System	24	8	$1,840.43	$1,380.32 25% off	$1,094.36	$1,840.43	$1,840.43	2024-12-30
15277	CPT	Skn Sub Grft F/n/hf/g Child	24	8	$3,316.00	$2,487.00 25% off	$1,462.02	$3,216.52	$1,802.74	2024-12-30
PX-38000998	CDM	—	24	8	$3,259.00	$2,444.25 25% off	$1,436.89	$3,259.00	$1,771.76	2024-12-30
PX-38000524	CDM	—	24	8	$3,197.00	$2,397.75 25% off	$1,409.56	$3,197.00	$1,738.05	2024-12-30
PX-38000506	CDM	—	24	8	$3,197.00	$2,397.75 25% off	$1,409.56	$3,197.00	$1,738.05	2024-12-30
PX-38000573	CDM	—	24	8	$3,197.00	$2,397.75 25% off	$1,409.56	$3,197.00	$1,738.05	2024-12-30
PX-38000895	CDM	—	24	8	$3,177.00	$2,382.75 25% off	$1,400.74	$3,177.00	$1,727.17	2024-12-30
J7300	HCPCS	Intra Copp Contra (paragard)	24	8	$1,726.97	$1,295.23 25% off	$823.05	$1,726.97	$1,726.97	2024-12-30
J1602	HCPCS	Golimumab For IV Use 1mg	24	8	$3,182.07	$2,386.55 25% off	$973.50	$3,086.61	$1,719.75	2024-12-30
PX-38002226	CDM	—	24	8	$3,140.00	$2,355.00 25% off	$1,384.43	$3,140.00	$1,707.07	2024-12-30
PX-38002292	CDM	—	24	8	$3,140.00	$2,355.00 25% off	$1,384.43	$3,140.00	$1,707.07	2024-12-30
PX-38000167	CDM	—	24	8	$3,113.00	$2,334.75 25% off	$1,372.52	$3,113.00	$1,692.39	2024-12-30
PX-38000257	CDM	—	24	8	$3,065.00	$2,298.75 25% off	$1,351.36	$3,065.00	$1,666.29	2024-12-30
PX-25003849	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-25004302	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-58003926	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-25003881	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-25003835	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-25004038	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-25010219	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-25003900	CDM	—	24	8	$3,045.00	$2,283.75 25% off	$1,342.54	$3,045.00	$1,655.41	2024-12-30
PX-38001392	CDM	—	24	8	$3,035.00	$2,276.25 25% off	$1,338.13	$2,943.95	$1,649.98	2024-12-30
11047	CPT	Dbrdmt Bone Each Addl	24	8	$3,022.00	$2,266.50 25% off	$1,332.40	$2,931.34	$1,642.91	2024-12-30
PX-38000452	CDM	—	24	8	$2,999.00	$2,249.25 25% off	$1,322.26	$2,999.00	$1,630.41	2024-12-30
PX-38000473	CDM	—	24	8	$2,986.00	$2,239.50 25% off	$1,316.53	$2,986.00	$1,623.34	2024-12-30
PX-38000484	CDM	—	24	8	$2,986.00	$2,239.50 25% off	$1,316.53	$2,986.00	$1,623.34	2024-12-30
PX-25005332	CDM	—	24	8	$2,980.00	$2,235.00 25% off	$1,313.88	$2,980.00	$1,620.07	2024-12-30
PX-25001497	CDM	—	24	8	$2,980.00	$2,235.00 25% off	$1,313.88	$2,980.00	$1,620.07	2024-12-30
23615	CPT	Optx Prox Humrl Fx W/int Fix	26	8	$3,143.00	$2,357.25 25% off	$776.68	$3,048.71	$1,617.86	2024-12-30
28193	CPT	Removal Of Foot Foreign Body	24	8	$2,972.00	$2,229.00 25% off	$1,310.35	$2,882.84	$1,615.72	2024-12-30
28192	CPT	Removal Of Foot Foreign Body	24	8	$2,972.00	$2,229.00 25% off	$1,310.35	$2,882.84	$1,615.72	2024-12-30
J2778	HCPCS	Ranibizumab Injection	48	8	$3,103.78	$2,327.83 25% off	$821.07	$3,010.67	$1,615.52	2024-12-30
PX-25000753	CDM	—	24	8	$2,950.00	$2,212.50 25% off	$1,300.66	$2,950.00	$1,603.77	2024-12-30
PX-25006627	CDM	—	24	8	$2,950.00	$2,212.50 25% off	$1,300.66	$2,950.00	$1,603.77	2024-12-30
J0178	HCPCS	Aflibercept Injection	24	8	$2,944.61	$2,208.46 25% off	$1,298.28	$2,856.27	$1,600.84	2024-12-30
27822	CPT	Treatment Of Ankle Fracture	26	8	$3,101.75	$2,326.31 25% off	$775.11	$3,008.70	$1,596.62	2024-12-30
74178	CPT	CT Abd&plv Wo Cntr Flwd Cntr	23	8	$3,041.00	$2,280.75 25% off	$618.69	$2,949.77	$1,582.84	2024-12-30
PX-25003990	CDM	—	24	8	$2,899.00	$2,174.25 25% off	$1,278.17	$2,899.00	$1,576.04	2024-12-30
PX-25009175	CDM	—	24	8	$2,899.00	$2,174.25 25% off	$1,278.17	$2,899.00	$1,576.04	2024-12-30
PX-25006091	CDM	—	24	8	$2,899.00	$2,174.25 25% off	$1,278.17	$2,899.00	$1,576.04	2024-12-30
J1459	HCPCS	Inj Ivig Privigen 500 Mg	24	8	$2,881.60	$2,161.20 25% off	$983.18	$2,795.15	$1,573.07	2024-12-30
74183	CPT	MRI Abd Without Cntr Flwd Cntr	23	8	$3,020.00	$2,265.00 25% off	$618.69	$2,929.40	$1,571.91	2024-12-30
73223	CPT	MRI Joint Upr Extr W/o&with Contrast	23	8	$3,006.00	$2,254.50 25% off	$618.69	$2,915.82	$1,564.62	2024-12-30
23412	CPT	Repair Rotator Cuff Chronic	26	8	$3,030.75	$2,273.06 25% off	$748.70	$2,939.83	$1,560.08	2024-12-30
25608	CPT	Optx Dst Rd Xart Fx/epi Sep2	26	8	$2,943.50	$2,207.62 25% off	$735.10	$2,943.50	$1,559.32	2024-12-30
73723	CPT	MRI Joint Lwr Extr W/o&with Contrast	23	8	$2,990.00	$2,242.50 25% off	$618.69	$2,900.30	$1,556.30	2024-12-30
72197	CPT	MRI Pelvis Without & With Contrast	23	8	$2,966.00	$2,224.50 25% off	$618.69	$2,877.02	$1,543.80	2024-12-30
72156	CPT	MRI Neck Spine Without & With Contrast	23	8	$2,959.00	$2,219.25 25% off	$618.69	$2,870.23	$1,540.16	2024-12-30
72158	CPT	MRI Lumbar Spine Without & With Contrast	23	8	$2,959.00	$2,219.25 25% off	$618.69	$2,870.23	$1,540.16	2024-12-30
72157	CPT	MRI Chest Spine Without & With Contrast	23	8	$2,959.00	$2,219.25 25% off	$618.69	$2,870.23	$1,540.16	2024-12-30
26123	CPT	Release Palm Contracture	26	8	$2,989.25	$2,241.94 25% off	$747.86	$2,899.57	$1,538.72	2024-12-30
PX-23000004	CDM	—	24	8	$2,806.00	$2,104.50 25% off	$1,237.17	$2,806.00	$1,525.49	2024-12-30
PX-38000295	CDM	—	24	8	$2,805.00	$2,103.75 25% off	$1,236.72	$2,805.00	$1,524.94	2024-12-30
PX-25012883	CDM	—	24	8	$2,800.00	$2,100.00 25% off	$1,234.52	$2,800.00	$1,522.22	2024-12-30
SUP-814511180	CDM	—	24	8	$2,766.75	$2,075.06 25% off	$1,219.86	$2,683.75	$1,504.14	2024-12-30
78803	CPT	Rp Loclzj Tum Spect 1 Area	24	8	$2,765.00	$2,073.75 25% off	$1,219.09	$2,682.05	$1,503.19	2024-12-30
70553	CPT	MRI Brain Stem Without & With Contrast	23	8	$2,871.00	$2,153.25 25% off	$618.69	$2,784.87	$1,494.36	2024-12-30
73720	CPT	MRI Lwr Extremity W/o&with Contrast	23	8	$2,794.00	$2,095.50 25% off	$618.69	$2,710.18	$1,454.28	2024-12-30
70546	CPT	Mr Angiograph Head W/o&with Contrast	23	8	$2,791.00	$2,093.25 25% off	$618.69	$2,707.27	$1,452.72	2024-12-30
70543	CPT	MRI Orbt/fac/nck Without &with Contrast	23	8	$2,774.00	$2,080.50 25% off	$618.69	$2,690.78	$1,443.87	2024-12-30
73220	CPT	MRI Uppr Extremity W/o&with Contrast	23	8	$2,757.00	$2,067.75 25% off	$618.69	$2,674.29	$1,435.02	2024-12-30
PX-38001301	CDM	—	24	8	$2,620.00	$1,965.00 25% off	$1,155.16	$2,620.00	$1,424.37	2024-12-30
J2315	HCPCS	Naltrexone, Depot Form	24	8	$2,612.12	$1,959.09 25% off	$1,151.68	$2,533.76	$1,420.08	2024-12-30
J7301	HCPCS	Skyla, 13.5 Mg	24	8	$1,533.14	$1,149.85 25% off	$732.84	$1,907.17	$1,408.95	2024-12-30
95805	CPT	Multiple Sleep Latency Test	24	8	$2,582.00	$1,936.50 25% off	$1,138.40	$2,504.54	$1,403.70	2024-12-30
52310	CPT	Cystoscopy And Treatment	50	8	$4,433.00	$3,324.75 25% off	$130.70	$4,433.00	$1,394.35	2024-12-30
25607	CPT	Optx Dst Rd Xartc Fx/epi Sep	26	8	$2,629.25	$1,971.94 25% off	$660.58	$2,629.25	$1,392.85	2024-12-30
73222	CPT	MRI Joint Upr Extrem With Contrast	23	8	$2,659.00	$1,994.25 25% off	$622.05	$2,579.23	$1,384.01	2024-12-30
J9041	HCPCS	Injection, Bortezomib, 0.1mg	24	8	$2,551.46	$1,913.59 25% off	$119.70	$2,474.92	$1,378.93	2024-12-30
73722	CPT	MRI Joint Of Lwr Extr With Contrast	23	8	$2,645.00	$1,983.75 25% off	$622.05	$2,565.65	$1,376.72	2024-12-30
74177	CPT	CT Abd & Pelvis W/contrast	23	8	$2,644.00	$1,983.00 25% off	$618.69	$2,564.68	$1,376.20	2024-12-30
PX-58001972	CDM	—	24	8	$2,525.00	$1,893.75 25% off	$1,113.27	$2,525.00	$1,372.72	2024-12-30
73725	CPT	Mr Ang Lwr Ext W Or Without Contrast	43	8	$2,632.00	$1,974.00 25% off	$588.45	$2,553.04	$1,369.96	2024-12-30
78451	CPT	Ht Muscle Image Spect Sing	24	8	$2,515.00	$1,886.25 25% off	$1,108.86	$2,439.55	$1,367.28	2024-12-30
23430	CPT	Repair Biceps Tendon	26	8	$2,654.75	$1,991.06 25% off	$657.95	$2,575.11	$1,366.53	2024-12-30
47563	CPT	Laparo Cholecystectomy/graph	26	8	$2,575.25	$1,931.44 25% off	$606.65	$2,575.25	$1,364.24	2024-12-30
74174	CPT	CTA Abd&plvs W/contrast	23	8	$2,621.00	$1,965.75 25% off	$618.69	$2,542.37	$1,364.23	2024-12-30
72147	CPT	MRI Chest Spine With Contrast	23	8	$2,618.00	$1,963.50 25% off	$618.69	$2,539.46	$1,362.67	2024-12-30
72149	CPT	MRI Lumbar Spine With Contrast	23	8	$2,618.00	$1,963.50 25% off	$618.69	$2,539.46	$1,362.67	2024-12-30
72142	CPT	MRI Neck Spine With Contrast	23	8	$2,618.00	$1,963.50 25% off	$618.69	$2,539.46	$1,362.67	2024-12-30
23515	CPT	Optx Clavicular Fx W/int Fix	26	8	$2,565.50	$1,924.12 25% off	$638.11	$2,565.50	$1,359.07	2024-12-30
J9355	HCPCS	Inj Trastuzumab Excl Biosimi	24	8	$2,480.48	$1,860.36 25% off	$1,185.67	$2,580.32	$1,354.09	2024-12-30
70549	CPT	Mr Angiograph Neck W/o&with Contrast	23	8	$2,593.00	$1,944.75 25% off	$618.69	$2,515.21	$1,349.66	2024-12-30
72196	CPT	MRI Pelvis With Contrast	23	8	$2,579.00	$1,934.25 25% off	$618.69	$2,501.63	$1,342.37	2024-12-30
64479	CPT	Njx Aa&/strd Tfrm Epi C/t 1	24	8	$2,449.00	$1,836.75 25% off	$449.00	$2,375.53	$1,323.57	2024-12-30
71552	CPT	MRI Chest Without & With Contrast	23	8	$2,534.00	$1,900.50 25% off	$618.69	$2,457.98	$1,318.95	2024-12-30
C1776	HCPCS	—	264	8	$2,047.50	$1,535.62 25% off	$540.10	$4,561.43	$1,314.75	2024-12-30
64635	CPT	Destroy Lumb/sac Facet Jnt	48	8	$3,966.00	$2,974.50 25% off	$397.58	$3,966.00	$1,311.65	2024-12-30
29882	CPT	Arthrs Kne Srg Mnisc Rpr M/l	26	8	$2,464.75	$1,848.56 25% off	$607.40	$2,464.75	$1,305.70	2024-12-30
59409	CPT	Obstetrical Care	26	8	$2,524.00	$1,893.00 25% off	$655.86	$2,448.28	$1,299.23	2024-12-30
PX-38000900	CDM	—	24	8	$2,382.00	$1,786.50 25% off	$1,050.22	$2,382.00	$1,294.97	2024-12-30
36573	CPT	Insj Picc Rs&i 5 Yr+	24	8	$2,394.00	$1,795.50 25% off	$724.00	$2,322.18	$1,293.84	2024-12-30
PX-25002593	CDM	—	24	8	$2,375.00	$1,781.25 25% off	$1,047.14	$2,375.00	$1,291.17	2024-12-30
J7327	HCPCS	Monovisc Inj Per Dose	24	8	$2,387.52	$1,790.64 25% off	$1,052.66	$2,315.89	$1,290.34	2024-12-30
72148	CPT	MRI Lumbar Spine Without Contrast	23	8	$2,470.00	$1,852.50 25% off	$588.45	$2,395.90	$1,285.64	2024-12-30
72146	CPT	MRI Chest Spine Without Contrast	23	8	$2,470.00	$1,852.50 25% off	$588.45	$2,395.90	$1,285.64	2024-12-30
72141	CPT	MRI Neck Spine Without Contrast	23	8	$2,470.00	$1,852.50 25% off	$588.45	$2,395.90	$1,285.64	2024-12-30
PX-25003086	CDM	—	24	8	$2,360.00	$1,770.00 25% off	$1,040.52	$2,360.00	$1,283.01	2024-12-30
PX-25014093	CDM	—	24	8	$2,360.00	$1,770.00 25% off	$1,040.52	$2,360.00	$1,283.01	2024-12-30
PX-25011028	CDM	—	24	8	$2,360.00	$1,770.00 25% off	$1,040.52	$2,360.00	$1,283.01	2024-12-30
70542	CPT	MRI Orbit/face/neck With Contrast	23	8	$2,454.00	$1,840.50 25% off	$618.69	$2,380.38	$1,277.31	2024-12-30
64718	CPT	Revise Ulnar Nerve At Elbow	26	8	$2,387.50	$1,790.62 25% off	$539.47	$2,387.50	$1,264.78	2024-12-30
PX-38001383	CDM	—	24	8	$2,324.00	$1,743.00 25% off	$1,024.65	$2,324.00	$1,263.44	2024-12-30
PX-38001376	CDM	—	24	8	$2,324.00	$1,743.00 25% off	$1,024.65	$2,324.00	$1,263.44	2024-12-30
25606	CPT	Perq Skel Fixj Dstl Rdl Fx	26	8	$2,371.75	$1,778.81 25% off	$599.21	$2,371.75	$1,256.43	2024-12-30
27650	CPT	Repair Achilles Tendon	26	8	$2,366.25	$1,774.69 25% off	$587.12	$2,366.25	$1,253.52	2024-12-30
PX-38000722	CDM	—	24	8	$2,296.00	$1,722.00 25% off	$1,012.31	$2,296.00	$1,248.22	2024-12-30
PX-38000670	CDM	—	24	8	$2,296.00	$1,722.00 25% off	$1,012.31	$2,296.00	$1,248.22	2024-12-30
24685	CPT	Optx Ulnar Fx Prox End W/fix	26	8	$2,336.00	$1,752.00 25% off	$583.37	$2,336.00	$1,237.49	2024-12-30
J1439	HCPCS	Inj Ferric Carboxymaltos 1mg	24	8	$2,275.63	$1,706.72 25% off	$1,003.33	$2,207.36	$1,237.15	2024-12-30
74185	CPT	MRA Abd W Or Without Cntrst	43	8	$1,827.00	$1,370.25 25% off	$588.45	$2,303.75	$1,236.19	2024-12-30
47562	CPT	Laparoscopic Cholecystectomy	26	8	$2,325.25	$1,743.94 25% off	$558.66	$2,325.25	$1,231.80	2024-12-30
PX-38000785	CDM	—	24	8	$2,249.00	$1,686.75 25% off	$991.58	$2,249.00	$1,222.67	2024-12-30
J9179	HCPCS	Eribulin Mesylate Injection	24	8	$2,244.27	$1,683.20 25% off	$989.50	$2,271.60	$1,220.10	2024-12-30
19301	CPT	Partial Mastectomy	26	8	$2,359.00	$1,769.25 25% off	$561.01	$2,288.23	$1,214.30	2024-12-30
74181	CPT	MRI Abdomen Without Contrast	23	8	$2,323.00	$1,742.25 25% off	$588.45	$2,253.31	$1,209.12	2024-12-30
PX-38000263	CDM	—	24	8	$2,223.00	$1,667.25 25% off	$980.12	$2,223.00	$1,208.53	2024-12-30
PX-38000280	CDM	—	24	8	$2,223.00	$1,667.25 25% off	$980.12	$2,223.00	$1,208.53	2024-12-30
PX-38000276	CDM	—	24	8	$2,223.00	$1,667.25 25% off	$980.12	$2,223.00	$1,208.53	2024-12-30
52332	CPT	Cystoscopy And Treatment	26	8	$2,338.25	$1,753.69 25% off	$134.47	$2,338.25	$1,203.62	2024-12-30
73221	CPT	MRI Joint Upr Extrem Without Contrast	23	8	$2,312.00	$1,734.00 25% off	$588.45	$2,242.64	$1,203.40	2024-12-30
93351	CPT	Stress Tte Complete	24	8	$2,212.50	$1,659.37 25% off	$975.49	$2,146.13	$1,202.82	2024-12-30
49520	CPT	Rerepair Ing Hernia Reduce	26	8	$2,327.75	$1,745.81 25% off	$536.99	$2,257.92	$1,198.21	2024-12-30
73721	CPT	MRI Jnt Of Lwr Extre Without Contrast	23	8	$2,300.00	$1,725.00 25% off	$588.45	$2,231.00	$1,197.15	2024-12-30
74176	CPT	CT Abd & Pelvis Without Contrast	23	8	$2,299.00	$1,724.25 25% off	$588.45	$2,230.03	$1,196.63	2024-12-30
27792	CPT	Treatment Of Ankle Fracture	26	8	$2,313.25	$1,734.94 25% off	$573.21	$2,243.85	$1,190.74	2024-12-30
C8930	HCPCS	—	24	8	$2,188.00	$1,641.00 25% off	$964.69	$2,122.36	$1,189.51	2024-12-30
72195	CPT	MRI Pelvis Without Contrast	23	8	$2,282.00	$1,711.50 25% off	$588.45	$2,213.54	$1,187.78	2024-12-30

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