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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

CEDAR COUNTY MEMORIAL HOSPITAL

El Dorado Springs, MO · CCN 261323 · Rates published

4,241 distinct procedures filed
30 distinct payers
139,363 rate rows
2026-05-13 last MRF observed
Data quality

58,874 of 139,363 rate rows are consumer-grade (42.2%)

80,489 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 66,353
per-diem day rate — not a per-procedure price 11,667
exceeds 10× this hospital's gross charge — excluded from medians 2,469
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apim.services.craneware.com/api-pricing-transparency/api/public/8b80f2763a22d42cf1f9d60ca4234c13/charges/mrf
Found on page https://www.cedarcomem.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-31
Content fingerprint 2c6010c3f5b2d4be… · 17,186,102 bytes · first seen 2026-05-13

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
28730
OTHER 		Fusion Of Foot Bones 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$11,519
0.9× median
27870
OTHER 		Fusion Of Ankle Joint Open 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$11,450
0.9× median
27428
OTHER 		Reconstruction Knee 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$9,201
1.2× median
27447
OTHER 		Total Knee Arthroplasty 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$12,374
0.9× median
25810
OTHER 		Arthrd Wrst Iliac/oth Agrft 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$10,713
1.0× median
27130
OTHER 		Total Hip Arthroplasty 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$12,374
0.9× median
29856
OTHER 		Tibial Arthroscopy/surgery 29 $10,712.91 $10,712.91 $10,712.91 nat. median
$7,921
1.4× median
29807
OTHER 		Sho Arthrs Srg Rpr Slap Les 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,390
1.1× median
29887
OTHER 		Knee Arthroscopy/surgery 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,345
1.1× median
28456
OTHER 		Treat Midfoot Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,416
0.9× median
27427
OTHER 		Reconstruction Knee 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,590
0.9× median
26841
OTHER 		Fusion Of Thumb 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,224
0.9× median
25608
OTHER 		Optx Dst Rd Xart Fx/epi Sep2 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,473
0.9× median
27792
OTHER 		Treatment Of Ankle Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,535
0.9× median
28070
OTHER 		Removal Of Foot Joint Lining 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,252
1.1× median
24685
OTHER 		Treat Ulnar Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,269
0.9× median
23455
OTHER 		Repair Shoulder Capsule 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,030
1.0× median
28531
OTHER 		Treat Sesamoid Bone Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$2,723
outlier · 2.1×
27235
OTHER 		Treat Thigh Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,224
0.9× median
24400
OTHER 		Revision Of Humerus 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,892
1.0× median
27654
OTHER 		Repair Of Achilles Tendon 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,269
0.9× median
29905
OTHER 		Subtalar Arthro W/exc 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,627
1.0× median
23410
OTHER 		Repair Rotator Cuff Acute 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,999
1.0× median
27650
OTHER 		Repair Achilles Tendon 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,751
1.0× median
23460
OTHER 		Repair Shoulder Capsule 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,823
1.0× median
25526
OTHER 		Optx Rdl Shft Fx&dstl Rad/ul 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,980
1.0× median
28615
OTHER 		Repair Foot Dislocation 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,395
0.9× median
29888
OTHER 		Knee Arthroscopy/surgery 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,697
0.9× median
28750
OTHER 		Fusion Of Big Toe Joint 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,548
0.9× median
28291
OTHER 		Corrj Halux Rigdus W/implt 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,107
1.0× median
25525
OTHER 		Optx Rdl Shft Fx&cltx Rad/ul 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,823
1.0× median
29820
OTHER 		Sho Arthrs Srg Prtl Synvct 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,627
1.0× median
27652
OTHER 		Repair/graft Achilles Tendon 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,224
0.9× median
29827
OTHER 		Sho Arthrs Srg Rt8tr Cuf Rpr 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,697
0.9× median
23420
OTHER 		Repair Of Shoulder 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,999
1.0× median
26531
OTHER 		Revise Knuckle With Implant 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,224
0.9× median
28202
OTHER 		Repair/graft Of Foot Tendon 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,061
1.0× median
28103
OTHER 		Remove/graft Foot Lesion 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,999
1.0× median
27524
OTHER 		Treat Kneecap Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,224
0.9× median
25515
OTHER 		Optx Radial Shaft Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,130
1.0× median
23412
OTHER 		Repair Rotator Cuff Chronic 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,224
0.9× median
24341
OTHER 		Rpr Tdn/musc Upr A/e Each 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,999
1.0× median
25607
OTHER 		Optx Dst Rd Xartc Fx/epi Sep 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,264
0.9× median
27405
OTHER 		Repair Of Knee Ligament 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,592
1.0× median
28485
OTHER 		Treat Metatarsal Fracture 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,398
0.9× median
29892
OTHER 		Ankle Arthroscopy/surgery 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,395
0.9× median
27420
OTHER 		Revision Of Unstable Kneecap 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,999
1.0× median
29828
OTHER 		Sho Arthrs Srg Bicp Tenodsis 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,697
0.9× median
28309
OTHER 		Incision Of Metatarsals 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$6,271
0.9× median
27698
OTHER 		Repair Of Ankle Ligament 29 $5,823.26 $5,823.26 $5,823.26 nat. median
$5,823
1.0× median

Other procedures at this hospital

Browse this hospital's 4,241 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
             
28730 OTHER Fusion Of Foot Bones 30 29 $2,112.00 $1,267.20 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
27870 OTHER Fusion Of Ankle Joint Open 30 29 $2,938.00 $1,762.80 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
27428 OTHER Reconstruction Knee 30 29 $3,237.00 $1,942.20 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
27447 OTHER Total Knee Arthroplasty 30 29 $3,730.00 $2,238.00 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
25810 OTHER Arthrd Wrst Iliac/oth Agrft 30 29 $2,517.00 $1,510.20 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
27130 OTHER Total Hip Arthroplasty 30 29 $3,734.00 $2,240.40 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
29856 OTHER Tibial Arthroscopy/surgery 30 29 $2,881.00 $1,728.60 40% off $10,712.91 $10,712.91 $10,712.91 2026-05-13
29807 OTHER Sho Arthrs Srg Rpr Slap Les 30 29 $2,999.00 $1,799.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29887 OTHER Knee Arthroscopy/surgery 30 29 $2,183.00 $1,309.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28456 OTHER Treat Midfoot Fracture 30 29 $1,079.00 $647.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27427 OTHER Reconstruction Knee 30 29 $2,064.00 $1,238.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
26841 OTHER Fusion Of Thumb 30 29 $719.15 $431.49 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25608 OTHER Optx Dst Rd Xart Fx/epi Sep2 30 29 $2,461.00 $1,476.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27792 OTHER Treatment Of Ankle Fracture 30 29 $1,873.00 $1,123.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28070 OTHER Removal Of Foot Joint Lining 30 29 $1,257.00 $754.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
24685 OTHER Treat Ulnar Fracture 30 29 $632.00 $379.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
23455 OTHER Repair Shoulder Capsule 30 29 $2,876.00 $1,725.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28531 OTHER Treat Sesamoid Bone Fracture 30 29 $735.00 $441.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27235 OTHER Treat Thigh Fracture 30 29 $2,631.00 $1,578.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
24400 OTHER Revision Of Humerus 30 29 $2,404.00 $1,442.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27654 OTHER Repair Of Achilles Tendon 30 29 $2,739.00 $1,643.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29905 OTHER Subtalar Arthro W/exc 30 29 $2,637.00 $1,582.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
23410 OTHER Repair Rotator Cuff Acute 30 29 $2,382.00 $1,429.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27650 OTHER Repair Achilles Tendon 30 29 $1,907.00 $1,144.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
23460 OTHER Repair Shoulder Capsule 30 29 $3,167.00 $1,900.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25526 OTHER Optx Rdl Shft Fx&dstl Rad/ul 30 29 $2,776.00 $1,665.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28615 OTHER Repair Foot Dislocation 30 29 $2,384.00 $1,430.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29888 OTHER Knee Arthroscopy/surgery 30 29 $2,698.00 $1,618.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28750 OTHER Fusion Of Big Toe Joint 30 29 $2,413.00 $1,447.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28291 OTHER Corrj Halux Rigdus W/implt 30 29 $1,730.00 $1,038.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25525 OTHER Optx Rdl Shft Fx&cltx Rad/ul 30 29 $2,296.00 $1,377.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29820 OTHER Sho Arthrs Srg Prtl Synvct 30 29 $1,549.00 $929.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27652 OTHER Repair/graft Achilles Tendon 30 29 $1,937.00 $1,162.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29827 OTHER Sho Arthrs Srg Rt8tr Cuf Rpr 30 29 $3,104.00 $1,862.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
23420 OTHER Repair Of Shoulder 30 29 $2,826.00 $1,695.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
26531 OTHER Revise Knuckle With Implant 30 29 $1,833.00 $1,099.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28202 OTHER Repair/graft Of Foot Tendon 30 29 $2,268.00 $1,360.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28103 OTHER Remove/graft Foot Lesion 30 29 $1,689.00 $1,013.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27524 OTHER Treat Kneecap Fracture 30 29 $2,189.00 $1,313.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25515 OTHER Optx Radial Shaft Fracture 30 29 $1,945.00 $1,167.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
23412 OTHER Repair Rotator Cuff Chronic 30 29 $2,475.00 $1,485.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
24341 OTHER Rpr Tdn/musc Upr A/e Each 30 29 $2,162.00 $1,297.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25607 OTHER Optx Dst Rd Xartc Fx/epi Sep 30 29 $3,404.85 $2,042.91 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27405 OTHER Repair Of Knee Ligament 30 29 $1,963.00 $1,177.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28485 OTHER Treat Metatarsal Fracture 30 29 $1,650.00 $990.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29892 OTHER Ankle Arthroscopy/surgery 30 29 $2,183.00 $1,309.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27420 OTHER Revision Of Unstable Kneecap 30 29 $2,169.00 $1,301.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29828 OTHER Sho Arthrs Srg Bicp Tenodsis 30 29 $2,659.00 $1,595.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28309 OTHER Incision Of Metatarsals 30 29 $2,621.00 $1,572.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27698 OTHER Repair Of Ankle Ligament 30 29 $1,818.25 $1,090.95 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25609 OTHER Optx Dst Rd Xart Fx/ep Sep3+ 30 29 $2,977.00 $1,786.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
24342 OTHER Repair Of Ruptured Tendon 30 29 $2,253.00 $1,351.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
23515 OTHER Optx Clavicular Fx W/int Fix 30 29 $2,790.00 $1,674.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25320 OTHER Repair/revise Wrist Joint 30 29 $2,856.00 $1,713.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27814 OTHER Treatment Of Ankle Fracture 30 29 $2,221.00 $1,332.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
28130 OTHER Removal Of Ankle Bone 30 29 $2,102.00 $1,261.20 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
29806 OTHER Sho Arthrs Srg Capsulorraphy 30 29 $3,068.00 $1,840.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27385 OTHER Repair Of Thigh Muscle 30 29 $1,749.00 $1,049.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
24340 OTHER Tenodesis Biceps Tdn At Elbw 30 29 $1,746.00 $1,047.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27826 OTHER Treat Lower Leg Fracture 30 29 $2,470.00 $1,482.00 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27695 OTHER Repair Of Ankle Ligament 30 29 $1,404.00 $842.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25390 OTHER Shorten Radius Or Ulna 30 29 $2,236.00 $1,341.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25360 OTHER Revision Of Ulna 30 29 $1,906.00 $1,143.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
25805 OTHER Arthrd Wrist W/sliding Graft 30 29 $2,464.00 $1,478.40 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27386 OTHER Repair/graft Of Thigh Muscle 30 29 $2,748.00 $1,648.80 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
27422 OTHER Revision Of Unstable Kneecap 30 29 $2,156.00 $1,293.60 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
49320 OTHER Diag Laparo Separate Proc 30 29 $1,125.00 $675.00 40% off $4,696.65 $4,696.65 $4,696.65 2026-05-13
49650 OTHER Lap Ing Hernia Repair Init 30 29 $1,967.00 $1,180.20 40% off $4,696.65 $4,696.65 $4,696.65 2026-05-13
44180 OTHER Lap Enterolysis 30 29 $3,666.00 $2,199.60 40% off $4,696.65 $4,696.65 $4,696.65 2026-05-13
47563 OTHER Laparo Cholecystectomy/graph 30 29 $2,593.00 $1,555.80 40% off $4,696.65 $4,696.65 $4,696.65 2026-05-13
49592 OTHER Rpr Aa Hrn 1st < 3 Ncr/strn 30 29 $1,298.75 $779.25 40% off $4,696.65 $4,696.65 $4,696.65 2026-05-13
47562 OTHER Laparoscopic Cholecystectomy 30 29 $4,525.00 $2,715.00 40% off $4,696.65 $4,696.65 $4,696.65 2026-05-13
65820 OTHER Goniotomy 30 29 $2,552.00 $1,531.20 40% off $3,309.51 $3,309.51 $3,309.51 2026-05-13
38525 OTHER Biopsy/removal Lymph Nodes 30 29 $1,941.00 $1,164.60 40% off $3,102.68 $3,102.68 $3,102.68 2026-05-13
19120 OTHER Removal Of Breast Lesion 30 29 $1,826.00 $1,095.60 40% off $3,102.68 $3,102.68 $3,102.68 2026-05-13
00406-0123-62 OTHER HYDROcodone Bitartrate-acetaminophen 28 14 $9.00 $5.40 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
27766 OTHER Optx Medial Ankle Fx 27 26 $558.20 $334.92 40% off $5,823.26 $5,823.26 $5,823.26 2026-05-13
787 OTHER Cesarean Section Without Sterilization With Cc 14 14 — — $3,786.00 $3,786.00 $3,786.00 2026-05-13
786 OTHER Cesarean Section Without Sterilization With Mcc 14 14 — — $3,786.00 $3,786.00 $3,786.00 2026-05-13
783 OTHER Cesarean Section With Sterilization With Mcc 14 14 — — $3,786.00 $3,786.00 $3,786.00 2026-05-13
788 OTHER Cesarean Section Without Sterilization Without Cc/mcc 14 14 — — $3,786.00 $3,786.00 $3,786.00 2026-05-13
784 OTHER Cesarean Section With Sterilization With Cc 14 14 — — $3,786.00 $3,786.00 $3,786.00 2026-05-13
785 OTHER Cesarean Section With Sterilization Without Cc/mcc 14 14 — — $3,786.00 $3,786.00 $3,786.00 2026-05-13
158 OTHER Dental And Oral Diseases With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
088 OTHER Concussion With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
163 OTHER Major Chest Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
116 OTHER Intraocular Procedures With Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
135 OTHER Sinus And Mastoid Procedures With Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
136 OTHER Sinus And Mastoid Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
166 OTHER Other Respiratory System O.r. Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
144 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
153 OTHER Otitis Media And Uri Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
137 OTHER Mouth Procedures With Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
164 OTHER Major Chest Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
168 OTHER Other Respiratory System O.r. Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
1700 OTHER Airborne Isolation Rm Level 2 14 14 $1,973.00 $1,183.80 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
033 OTHER Ventricular Shunt Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
095 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
141 OTHER Major Head And Neck Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
026 OTHER Craniotomy And Endovascular Intracranial Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
02687 OTHER Sodium Bicarb 8.4% Syringe 50m 14 14 $32.50 $19.50 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
032 OTHER Ventricular Shunt Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
039 OTHER Extracranial Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
038 OTHER Extracranial Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
060 OTHER Multiple Sclerosis And Cerebellar Ataxia Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
054 OTHER Nervous System Neoplasms With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
059 OTHER Multiple Sclerosis And Cerebellar Ataxia With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
058 OTHER Multiple Sclerosis And Cerebellar Ataxia With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
06609 OTHER Mko (midaz-keta-ond) 3-25-2 Mg 14 14 $55.45 $33.27 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
090 OTHER Concussion Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
115 OTHER Extraocular Procedures Except Orbit 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
122 OTHER Acute Major Eye Infections Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
100 OTHER Seizures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
089 OTHER Concussion With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
10119002003B OTHER Advanced Eye Relief Dry Eye 14 14 $33.90 $20.34 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
074 OTHER Cranial And Peripheral Nerve Disorders Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
076 OTHER Viral Meningitis Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
081 OTHER Nontraumatic Stupor & Coma Without Comorbity 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
087 OTHER Traumatic Stupor And Coma <1 Hour Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
086 OTHER Traumatic Stupor And Coma <1 Hour With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
04071-4131-00 OTHER Low Osmolar Contrast Material; 300-399 Mg/ml Iodine Concentration; Per Ml 14 14 $120.00 $72.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
027 OTHER Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
10019064164 OTHER Suprane 14 14 $480.70 $288.42 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
139 OTHER Salivary Gland Procedures 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
149 OTHER Dysequilibrium 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
013 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
014 OTHER Allogeneic Bone Marrow Transplant 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00990798436D OTHER Sodium Chloride 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
093 OTHER Other Disorders Of Nervous System Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
10122031401A OTHER Cardene IV 14 14 $365.95 $219.57 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
041 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
1100 OTHER Swingbed Baria Level 2 14 14 $1,277.00 $766.20 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
091 OTHER Other Disorders Of Nervous System With Comorbity 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
092 OTHER Other Disorders Of Nervous System With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
123 OTHER Neurological Eye Disorders 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
142 OTHER Major Head And Neck Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
154 OTHER Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
178 OTHER Respiratory Infections & Inflammations With Complication 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7227-61 OTHER clonazePAM 14 14 $3.00 $1.80 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7276-41 OTHER Nystatin 14 14 $3.15 $1.89 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
173 OTHER Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
101 OTHER Seizures Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
151 OTHER Epistaxis Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
17238090099 OTHER Bio Glo 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
17478020605A OTHER Phenylephrine HCl 14 14 $120.00 $72.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6557-61 OTHER Morphine Sulfate 14 14 $3.00 $1.80 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7304-61 OTHER Promethazine HCl 14 14 $8.25 $4.95 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
152 OTHER Otitis Media And Uri With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7269-66 OTHER Sucralfate 14 14 $32.58 $19.55 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
12870000101 OTHER Silver Nitrate 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
146 OTHER Ear, Nose, Mouth And Throat Malignancy With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
1600 OTHER Airborne Isolation Rm Level 1 14 14 $1,879.00 $1,127.40 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
17478040401 OTHER Ful-glo 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
007 OTHER Lung Transplant 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00641601501A OTHER dilTIAZem HCl 14 14 $32.80 $19.68 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00781-2020-01 OTHER Amoxicillin 14 14 $22.00 $13.20 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
1300 OTHER Swingbed Private Level 2 14 14 $897.00 $538.20 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00536-1107-88 OTHER Nicotine Transdermal System 14 14 $4.80 $2.88 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00536122497A OTHER Eye Wash 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
140 OTHER Major Head And Neck Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
006 OTHER Liver Transplant Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00641601310A OTHER dilTIAZem HCl 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-5677-61 OTHER PARoxetine HCl 14 14 $5.50 $3.30 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
008 OTHER Simultaneous Pancreas And Kidney Transplant 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-0523-61 OTHER Vitamin C 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00884629730A OTHER Phenol Ez Swabs 14 14 $62.20 $37.32 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6427-61 OTHER Escitalopram 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-5854-61 OTHER Ibuprofen 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6322-06 OTHER Metoprolol Succinate 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6987-61 OTHER Dicyclomine HCl 14 14 $22.00 $13.20 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6666-61 OTHER Gabapentin 14 14 $11.00 $6.60 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6938-06 OTHER Butalbital-acetaminophen-caffeine 14 14 $8.20 $4.92 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6925-61 OTHER Sertraline HCl 14 14 $8.25 $4.95 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7156-61 OTHER metroNIDAZOLE 14 14 $5.50 $3.30 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7044-61 OTHER DULoxetine HCl 14 14 $6.50 $3.90 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7122-61 OTHER busPIRone HCl 14 14 $5.50 $3.30 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00019-1323-90 OTHER Optiray 320 14 14 $225.00 $135.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00536108691 OTHER Artificial Tears 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7350-06 OTHER Azithromycin 14 14 $8.70 $5.22 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7346-61 OTHER FLUoxetine HCl 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7337-35 OTHER Cephalexin 14 14 $8.25 $4.95 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7470-66 OTHER Sucralfate 14 14 $32.60 $19.56 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7442-61 OTHER cloNIDine HCl 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7401-61 OTHER Cyclobenzaprine HCl 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00990792609A OTHER Dextrose-sodium Chloride 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00990792409A OTHER Dextrose-sodium Chloride 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00990793003A OTHER Dextrose 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00990-7983-02 OTHER Sodium Chloride 14 14 $15.75 $9.45 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00998020615 OTHER Isopto Carpine 14 14 $299.20 $179.52 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00027-0111-02 OTHER Injection; Gadolinium-based Magnetic Resonance Contrast Agent; Not Otherwise Spe… 14 14 $270.00 $162.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
010 OTHER Pancreas Transplant 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
025 OTHER Craniotomy And Endovascular Intracranial Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
028 OTHER Spinal Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
030 OTHER Spinal Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
031 OTHER Ventricular Shunt Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
035 OTHER Carotid Artery Stent Procedures With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
034 OTHER Carotid Artery Stent Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
036 OTHER Carotid Artery Stent Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
037 OTHER Extracranial Procedures With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
05017 OTHER Gelatin Sponge,absorb/porcine 14 14 $82.30 $49.38 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
042 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
053 OTHER Spinal Disorders And Injuries Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
052 OTHER Spinal Disorders And Injuries With Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
056 OTHER Degenerative Nervous System Disorders With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
055 OTHER Nervous System Neoplasms Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
057 OTHER Degenerative Nervous System Disorders Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
05719 OTHER H20 For Inhalation 14 14 $16.00 $9.60 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
066 OTHER Intracranial Hemorrhage Or Cerebral Infarction Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
063 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
062 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
061 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
065 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Complication Or Tpa In 24 Hr… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
064 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
1200 OTHER Swingbed Private Level 1 14 14 $736.00 $441.60 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
06466 OTHER Phenyl-cyclo-trop-keto Ophth 1 14 14 $537.00 $322.20 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
069 OTHER Transient Ischemia Without Thrombolytic 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
06611 OTHER Ketamine 50 Mg/5 Ml-0.9% Nacl 14 14 $56.80 $34.08 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
068 OTHER Precerebral Occlusion Without Infarction Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
067 OTHER Precerebral Occlusion Without Infarction With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
073 OTHER Cranial And Peripheral Nerve Disorders With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
070 OTHER Other Cerebrovascular Disorders With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
072 OTHER Other Cerebrovascular Disorders Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
071 OTHER Other Cerebrovascular Disorders With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
G0237 HCPCS Therapeutic Procd Strg Endur 14 14 $49.00 $29.40 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
075 OTHER Viral Meningitis With Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
08065183905 OTHER Viscoat 14 14 $594.85 $356.91 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
080 OTHER Nontraumatic Stupor And Coma With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
083 OTHER Traumatic Stupor And Coma >1 Hour With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
082 OTHER Traumatic Stupor And Coma >1 Hour With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
084 OTHER Traumatic Stupor And Coma >1 Hour Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
085 OTHER Traumatic Stupor And Coma <1 Hour With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00574-0275-00 OTHER Potassium Chloride 14 14 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
124 OTHER Other Disorders Of The Eye With Mcc Or Thrombolytic Agent 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
1400 OTHER Pediatric Room-level 1 14 14 $1,418.00 $850.80 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
159 OTHER Dental And Oral Diseases Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00487278401 OTHER Asthmanefrin 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00496052348 OTHER Mastisol 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409664816 OTHER Dextrose 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409724813A OTHER Hetastarch/Sodium Chloride 14 14 $51.25 $30.75 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
096 OTHER Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
147 OTHER Ear, Nose, Mouth And Throat Malignancy With Cc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409488810A OTHER Sodium Chloride 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409553434 OTHER Sodium Bicarbonate 14 14 $32.45 $19.47 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409658101 OTHER Marcaine With EPINEPHrine Novaplus 14 14 $33.10 $19.86 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409-4887-20 OTHER Water For Injection 14 14 $9.50 $5.70 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409488720A OTHER Water For Injection 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00517760425 OTHER Acetylcysteine 14 14 $43.35 $26.01 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
125 OTHER Other Disorders Of The Eye Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
165 OTHER Major Chest Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
17478071710B OTHER Ketotifen Fumarate 14 14 $27.45 $16.47 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
176 OTHER Pulmonary Embolism Without Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00006542312 OTHER Bridion 14 14 $408.45 $245.07 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409166050 OTHER Precedex 14 14 $84.00 $50.40 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409233924A OTHER Labetalol HCl 14 14 $27.25 $16.35 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409163201B OTHER Vecuronium Bromide 14 14 $22.05 $13.23 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409175250 OTHER Marcaine With EPINEPHrine 14 14 $51.00 $30.60 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409427601A OTHER Lidocaine HCl 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
117 OTHER Intraocular Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409115919B OTHER BUPivacaine HCl 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409116318 OTHER BUPivacaine HCl 14 14 $20.00 $12.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
099 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00409158750 OTHER Marcaine HCl 14 14 $23.55 $14.13 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00003256016A OTHER Azactam 14 14 $89.20 $53.52 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
10019012001 OTHER Esmolol HCl 14 14 $36.50 $21.90 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
138 OTHER Mouth Procedures Without Cc/mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
157 OTHER Dental And Oral Diseases With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00407-1413-63 OTHER Omnipaque 300 14 14 $120.00 $72.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
097 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00338955324A OTHER Clindamycin Phosphate-sodium Chloride 14 14 $39.15 $23.49 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00386000104 OTHER Gebauer's Ethyl Chloride 14 14 $110.00 $66.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00407-2223-17 OTHER Visipaque 14 14 $300.00 $180.00 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00093-3160-06 OTHER Cefdinir 14 14 $13.45 $8.07 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00003-0894-21 OTHER Eliquis 14 14 $22.75 $13.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 14 — — $2,839.00 $2,839.00 $2,839.00 2026-05-13
00386000803 OTHER Gebauer's Pain Ease 14 14 $104.50 $62.70 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
73223 OTHER MRI Joint Upr Extr W/O&with Contrast 2 2 $4,757.00 $2,854.20 40% off $2,521.21 $4,757.00 $3,639.11 2026-05-13
73720 OTHER MRI Lwr Extremity W/O&with Contrast 2 2 $4,757.00 $2,854.20 40% off $1,558.14 $4,757.00 $3,157.57 2026-05-13
J0485 HCPCS Injection; Belatacept; 1 Mg 1 1 $6,595.20 $3,957.12 40% off $5,368.49 $5,368.49 $5,368.49 2026-05-13
73206 OTHER CT Scan Of Blood Vessels Of Arm With Contrast 1 1 $3,410.00 $2,046.00 40% off $3,410.00 $3,410.00 $3,410.00 2026-05-13
00990-7983-03 OTHER Sodium Chloride 1 1 $15.75 $9.45 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00990-7922-02 OTHER Dextrose 1 1 $15.75 $9.45 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00603-1880-10 OTHER Lidocaine 1 1 $7.05 $4.23 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-6351-61 OTHER levoFLOXacin 1 1 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
00904-7383-61 OTHER Tamsulosin HCl 1 1 $2.75 $1.65 40% off $2,839.00 $2,839.00 $2,839.00 2026-05-13
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